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NPI Code Detail

MEDICARE: DR. TANYA SCHULZ DDS

MEDICARE:  DR. TANYA  SCHULZ  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
1122300000XDentist11137MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
128012SCOTHERMNBCBS

General Provider Information

NPI Number : 1427036714
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TANYA SCHULZ DDS
Provider Business Mailing Address
First Line : 14934 LORI RD SE
Second Line :
City : PRIOR LAKE
State : MN
Zip : 55372-2126
Country : US
Telephone Number : 612-968-0918
Fax Number :
Provider Business Practice Location Address
First Line : 14934 LORI RD SE
Second Line :
City : PRIOR LAKE
State : MN
Zip : 55372-2126
Country : US
Telephone Number : 612-968-0918
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2006
Last Update Date : 02/26/2026

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Directions to “ DR. TANYA SCHULZ DDS” Practice Location

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