Shults, Lawrence
Shults, Lawrence is an sole proprietor health care provider with primary practice located at 3549 E Brown Rd Ste 102 , Mesa AZ 85213-5508. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Shults, Lawrence can be contacted via phone (480) 634-5686.Contact Information
Primary practice address
3549 E Brown Rd Ste 102
Mesa AZ 85213-5508
Phone: (480) 634-5686
Fax: (888) 620-3210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D6953 | Arizona |
| Dental Providers / Pediatric Dentistry | 1223P0221X | D6953 | Arizona |
Profile Details
| NPI number | 1467570606 |
|---|---|
| LBN Legal business name | Shults, Lawrence |
| Credentials | D.D.S. MSD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Nov 24th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467570606 | NPPES |
| Arizona | MEDICAID | 117337 |
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