MEDICARE: DR. RICHARD ALLEN SCHULMAN D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	4890	CT

General Provider Information

NPI Number	:	1356343461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD ALLEN SCHULMAN D.M.D.

Provider Business Mailing Address
First Line	:	225 N MAIN ST
Second Line	:	STE 201
City	:	BRISTOL
State	:	CT
Zip	:	06010-4993
Country	:	US
Telephone Number	:	860-582-4485
Fax Number	:	860-589-5032

Provider Business Practice Location Address
First Line	:	225 N MAIN ST
Second Line	:	STE 201
City	:	BRISTOL
State	:	CT
Zip	:	06010-4993
Country	:	US
Telephone Number	:	860-582-4485
Fax Number	:	860-589-5032

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	07/08/2007

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