Sherwood Dental S.C.
Organization Active NPI Dentist · Sherwood, WI
NPI 1487770467 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1487770467
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- WI3822-015 (WI)
- Legal business name
- SHERWOOD DENTAL S.C.
- Practice address
- North 275 Military Rd.
Sherwood, WI 54169 - Phone
- (920) 989-1103
- NPI assigned
- Mar 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Sidney B. Schulz, D.D.S.
- Title
- Owner
- Phone
- (920) 989-1103
Practitioners 2
-
Sidney B. Schulz, D.D.S.
-
Megan Wolfinger, D.D.S.
National Provider Directory
Locations
N275 Military Rd
Sherwood, WI 54169
Phone (920) 989-1103
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | WI3822-015 | WI | Yes |
Addresses
Primary practice location
North 275 Military Rd.
Sherwood, WI 54169
Mailing address
North 275 Military Rd.
Sherwood, WI 54169
Phone (920) 989-1103
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33498300 | Medicaid | WI |
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 Aug 22, 2020. 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.