Healthcare Provider Details

I. General information

NPI: 1750572335
Provider Name (Legal Business Name): STANTON SCHULER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2007
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

244 N KAWEAH AVE
EXETER CA
93221-1220
US

IV. Provider business mailing address

244 N KAWEAH AVE
EXETER CA
93221-1220
US

V. Phone/Fax

Practice location:
  • Phone: 909-663-7966
  • Fax:
Mailing address:
  • Phone: 909-663-7966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223D0004X
TaxonomyDental Anesthesiology
License Number1425
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number9839
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number55060
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: