Schulten, Thad R

Schulten, Thad R is an individual health care provider with primary practice located at 4515 Churchman Ave , Louisville KY 40215-1172. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Schulten, Thad R can be contacted via phone (502) 361-0134.

Contact Information

Primary practice address
4515 Churchman Ave Louisville KY 40215-1172
Phone: (502) 361-0134
Fax: (502) 361-0137
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 7134 Kentucky
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 7134 Kentucky

Profile Details

NPI number 1356330021
LBN Legal business name Schulten, Thad R
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Aug 28th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356330021 NPPES
Kentucky MEDICAID 64032246
Kentucky Other 60000817

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