Sidney B. Schulz, D.D.S.
Individual provider Active NPI Dentist · Sherwood, WI
NPI 1164546503 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164546503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 3822-015 (WI)
- Practice address
- North 275 Military Rd.
Sherwood, WI 54169-0159 - Phone
- (920) 989-1103
- Fax
- (920) 989-1102
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3822-015 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sherwood Dental S.C. | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3822-015 | WI | Yes |
Addresses
Primary practice location
North 275 Military Rd.
Sherwood, WI 54169-0159
Mailing address
North 275 Military Rd.
Sherwood, WI 54169-0159
Phone (920) 989-1103
Other providers in Sherwood, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.