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NPI Code Detail

MEDICARE: DIANE C SCHILL D.D.S

MEDICARE: DIANE C SCHILL D.D.S
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
11223G0001XGeneral Practice Dentistry36696CA

General Provider Information

NPI Number : 1306821343
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANE C SCHILL D.D.S
Provider Business Mailing Address
First Line : PO BOX A D
Second Line :
City : YUBA CITY
State : CA
Zip : 95992-1396
Country : US
Telephone Number : 530-751-3769
Fax Number : 530-751-1237
Provider Business Practice Location Address
First Line : 4941 OLIVEHURST AVE
Second Line :
City : OLIVEHURST
State : CA
Zip : 95961-4225
Country : US
Telephone Number : 530-743-4614
Fax Number : 530-743-1883
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 07/05/2011

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Directions to “ DIANE C SCHILL D.D.S” Practice Location

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