Michael James Schuiling, DDS
Individual provider Active NPI Dentist · Elburn, IL
NPI 1235405473 · NPPES record last updated Oct 5, 2024
Key facts
- NPI
- 1235405473
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 019.029310 (IL)
- Practice address
- 708 N Main St
Elburn, IL 60119-9103 - Phone
- (630) 365-6127
- NPI assigned
- Mar 30, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
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 |
|---|---|---|---|
| 019.029310 | IL | MD | Dentist |
| 319.018450 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Schuiling DDS PLLC | Current |
Accepting new patients | |
| Robert B Davidson DDS PC | Dentist | Past |
Accepting new patients |
| Alec Joy DMD, PLLC | Past |
Accepting new patients |
Locations
708 N Main St
Elburn, IL 60119
Phone (630) 365-6127
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 319.018450 | IL | |
| Dentist | 122300000X | 019.029310 | IL | Yes |
Addresses
Primary practice location
708 N Main St
Elburn, IL 60119-9103
Mailing address
708 N Main St
Elburn, IL 60119-9103
Phone (630) 365-6127
Other providers in Elburn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2024. 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.