Healthcare Provider Details

I. General information

NPI: 1013854736
Provider Name (Legal Business Name): QUINTEN JAMES SCHILD DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1377 E 3900 S STE 101
HOLLADAY UT
84124-1489
US

IV. Provider business mailing address

41978 HIGHWAY 290 BUSINESS
WALLER TX
77484-8089
US

V. Phone/Fax

Practice location:
  • Phone: 801-277-8222
  • Fax:
Mailing address:
  • Phone: 936-697-5318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number14283679-9926
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: