Most Relevant Information
Provider Data
| NPI Number: | 1003048224 |
| Provider Name: | TODD ALAN SCHULTZ D.M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 019.027715 |
Most Important Dates
| Enumeration Date: | 08/21/2009 |
| Last Updated: | 09/28/2015 |
Provider Practice Location
310 W LOSEY ST
SCOTT AFB
IL
622255250
Practice Location Phone/Fax
| Phone: | 6182567079 |
| Fax: |
Provider Mailing Location
310 W LOSEY ST
SCOTT AFB
IL
622255250
Provider Mailing Phone/Fax
| Phone: | 6182567079 |
| Fax: |