Organization
WILLIAM J. SCHULDT, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JACK SCHULDT JR. D.D.S., M.S. (PRESIDENT)
(218) 722-7404
Entity
Organization
Contact information
Practice address
324 W SUPERIOR ST, SUITE 1229, DULUTH, MN 55802-1701
(218) 722-7404
Mailing address
324 W SUPERIOR ST, SUITE 1229, DULUTH, MN 55802-1701
(218) 722-7404
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D8754
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003860727
NPI INDIVIDUAL
MN
01
—
2448391
VA
MN
01
—
407230
UNITED CONCORDIA
MN
01
—
7B050SC
BCBS CLINIC
MN
01
—
7B051SC
BCBS PROVIDER
MN
Enumeration date
01/31/2007
Last updated
03/07/2023
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