Individual
COLIN WADE SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3233 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70506-7214
(337) 981-9923
Mailing address
125 SEGOVIA WAY, LAFAYETTE, LA 70506-6792
(337) 981-9923
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7804
LA
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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