Jared Scott Shultz in Tyler - General Practice
Jared Scott Shultz - NPI 1124023270
Jared Scott Shultz is a General Practice in Tyler, Texas. Jared Scott Shultz practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jared Scott Shultz is 1124023270. The last update date is 2019-09-11.
Jared Scott Shultz's current location address is 4290 Kinsey Dr Ste 300, Tyler, Texas. You can contact this provider via phone number 9036306868 and fax number 9036306871. The mailing address for Jared Scott Shultz is 4290 Kinsey Dr Ste 300, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jared Scott Shultz |
|---|---|
| Address | 4290 Kinsey Dr Ste 300, Tyler, Texas |
| Phone Number | 9036306868 |
| Fax Number | 9036306871 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1124023270 |
|---|---|
| Provider Enumeration Date | 2005-06-16 |
| Last Updated Date | 2019-09-11 |
Provider Mailing Address Detail
| Address | 4290 Kinsey Dr Ste 300 |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 7570310220 |
| Phone Number | 9036306868 |
| Fax Number | 9036306871 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 18104 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identification code assigned to Jared Scott Shultz by the Centers for Medicare & Medicaid Services?
The Jared Scott Shultz has been issued the NPI (National Provider Identifier) 1124023270. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jared Scott Shultz's facilities are situated?
The facilities of Jared Scott Shultz are physically located at the following address: 4290 Kinsey Dr Ste 300, Tyler, TX, 7570310220.
What is Jared Scott Shultz's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jared Scott Shultz's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
When did Jared Scott Shultz receive its 1124023270 assignment?
The Jared Scott Shultz was assigned its 1124023270 on 2005-06-16, which is the date when this unique identifier was issued to the organization.
When was the Jared Scott Shultz's information last updated?
The Jared Scott Shultz's information was last updated on 2019-09-11.