Healthcare Provider Details

I. General information

NPI: 1487723136
Provider Name (Legal Business Name): STEVEN E SCHULHOF DMD, MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 07/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 CEDAR LN 2ND FL
TEANECK NJ
07666-3442
US

IV. Provider business mailing address

315 CEDAR LN 2ND FL
TEANECK NJ
07666-3442
US

V. Phone/Fax

Practice location:
  • Phone: 201-692-7737
  • Fax: 201-287-9716
Mailing address:
  • Phone: 201-692-7737
  • Fax: 201-287-9716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number22DI02231200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: