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NPI Code Detail

MEDICARE: DR. ROBERT WILLIAM SCHUTT DDS

MEDICARE: DR. ROBERT WILLIAM SCHUTT DDS
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
11223D0001XPublic Health Dentistry0401007031VA

General Provider Information

NPI Number : 1114997533
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT WILLIAM SCHUTT DDS
Provider Business Mailing Address
First Line : 104 DAWN PL
Second Line :
City : YORKTOWN
State : VA
Zip : 23693-3628
Country : US
Telephone Number : 757-867-9733
Fax Number :
Provider Business Practice Location Address
First Line : 1647 ADMIRAL TAUSSIG BLVD
Second Line :
City : NORFOLK
State : VA
Zip : 23511-2803
Country : US
Telephone Number : 757-314-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2006
Last Update Date : 07/08/2007

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