MEDICARE: DR. JARED SCOTT SHULTZ 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
1	1223G0001X	General Practice Dentistry	18104	TX

General Provider Information

NPI Number	:	1124023270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JARED SCOTT SHULTZ DDS

Provider Business Mailing Address
First Line	:	4290 KINSEY DR STE 300
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75703-1022
Country	:	US
Telephone Number	:	903-630-6868
Fax Number	:	903-630-6871

Provider Business Practice Location Address
First Line	:	4290 KINSEY DR STE 300
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75703-1022
Country	:	US
Telephone Number	:	903-630-6868
Fax Number	:	903-630-6871

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	09/11/2019

Similar Medicare Providers

1366003063 — DR. AUSTIN J DOWELL PHARMD
Practice Location Address:

4290 KINSEY DR STE 100
TYLER, TX
75703-1022

Practice Phone: 903-561-5656
Practice Fax:

1134779994 — SHULTZ FAMILY DENTISTRY PLLC
Practice Location Address:

4290 KINSEY DR STE 300
TYLER, TX
75703-1022

Practice Phone: 903-630-6868
Practice Fax: 903-630-6871

1477304533 — CASSANDRA ESCOBEDO
Practice Location Address:

7925 S BROADWAY AVE STE 300
TYLER, TX
75703-5247

Practice Phone: 903-561-2232
Practice Fax:

1730199563 — KEVIN P SCULLY PAC
Practice Location Address:

2210 THREE LAKES PKWY STE 100
TYLER, TX
75703-0642

Practice Phone: 903-747-4050
Practice Fax: 903-747-4075

1700477056 — BRITTANY NICOLE STEPHENS NP
Practice Location Address:

6770 OLD JACKSONVILLE HWY STE 103
TYLER, TX
75703-0576

Practice Phone: 903-944-7989
Practice Fax:

1831195106 — CHRISTOPHER PERKINS DO
Practice Location Address:

428 CENTENNIAL PKWY
TYLER, TX
75703-7166

Practice Phone: 903-266-5900
Practice Fax:

Directions to “ DR. JARED SCOTT SHULTZ DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.