Brandon Matthew Schultz, D.D.S.
Individual provider Active NPI General Practice Dentistry · Eagle Point, OR
NPI 1487819975 · NPPES record last updated Jul 23, 2008
Key facts
- NPI
- 1487819975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D9157 (OR)
- Practice address
- 11160 Hwy 62 Ste a
Eagle Point, OR 97524-8025 - Phone
- (541) 826-0599
- Fax
- (541) 826-0602
- NPI assigned
- Jul 23, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| D9157 | OR | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D9157 | OR | Yes |
Addresses
Primary practice location
11160 Hwy 62 Ste a
Eagle Point, OR 97524-8025
Mailing address
1122 S Shasta Ave
Eagle Point, OR 97524-8617
Phone (734) 558-6644
Other providers in Eagle Point, OR
- Rogue Community Health
- Rogue Community Health
- Judy Alethe Rudy
- Amanda Salas
- Jennifer D Schnell
- Theresa L Sexton
- Dean Albert Shrock
- Kimberly A Skomerza
- Karen Irene Smith
- Zane Smith
All providers in Eagle Point, OR · General Practice Dentistry in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2008. 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.