Individual
DR. CHARLES J SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, OMFS
Contact information
Practice address
2220 DUNN ST, JUNEAU, AK 99801-9304
(907) 586-9586
(907) 586-1849
Mailing address
2220 DUNN ST, JUNEAU, AK 99801-1430
(907) 586-9586
(907) 586-1849
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
111
AK
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
961
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003247
—
AK
05
—
DDO961
—
AK
Enumeration date
09/14/2007
Last updated
02/04/2014
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