Elyse M Schulte DDS LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ELYSE M SCHULTE DDS LLC

Practice address

6518 Winford Ave
Fairfield Township, OH 45011-0547

Phone

(513) 867-0619

NPI assigned

Aug 23, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Elyse M Schulte, DDSNPI 1790104255

Title

Owner/Dentist

Phone

(513) 867-0619

Specialties & licenses 1

Addresses

Other names 1

• Bridgewater Family Dental Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elyse Marie Schulte, D.D.S.

  • General Practice Dentistry
  • Mason, OH
  • NPI 1790104255
  NPD Authorized official
• Paul M Pavloff, DDS

  • Dentist
  • Hamilton, OH
  • NPI 1114032703
  NPD (past)
• Daniel Schmidt, D.D.S.

  • Dentist
  • Cincinnati, OH
  • NPI 1487180337
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1750058277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6518 WINFORD AVE",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450110547",
            "telephone_number": "513-867-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6518 WINFORD AVE",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450110547",
            "telephone_number": "513-867-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSE M SCHULTE DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "SCHULTE",
        "authorized_official_first_name": "ELYSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "513-867-0619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgewater Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lataya Dobbins
• Melanie Dubose
• Bethany R Durbin
• Dynamic Health Safety & Solutions
• Jonathan Ehrenkrantz
• Janelle Eschenbach
• Fairfield Preparatory Academy
• Family First Vision Care LLC
• Celeste K. Fellner, MD
• Athena Francesca Ferraro

• Dental Clinic/Center in Fairfield Township, OH
• Providers in Fairfield Township, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.