Healthcare Provider Details

I. General information

NPI: 1457737066
Provider Name (Legal Business Name): DONA SCHULZ RDH, BS, MBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2015
Last Update Date: 08/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

558 E CASTLE PINES PKWY UNIT B4 136
CASTLE PINES CO
80108-4608
US

IV. Provider business mailing address

558 E CASTLE PINES PKWY UNIT B4 136
CASTLE PINES CO
80108-4608
US

V. Phone/Fax

Practice location:
  • Phone: 720-626-7292
  • Fax:
Mailing address:
  • Phone: 720-626-7292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number000906474
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number020009227
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: