MEDICARE: DR. PAUL R. SCHULHOF 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
1	122300000X	Dentist	DS020967L	PA

General Provider Information

NPI Number	:	1679804017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL R. SCHULHOF D.D.S.

Provider Business Mailing Address
First Line	:	1505 LINCOLN WAY STE 209
Second Line	:
City	:	WHITE OAK
State	:	PA
Zip	:	15131-1711
Country	:	US
Telephone Number	:	412-678-6927
Fax Number	:

Provider Business Practice Location Address
First Line	:	1505 LINCOLN WAY STE 209
Second Line	:
City	:	WHITE OAK
State	:	PA
Zip	:	15131-1711
Country	:	US
Telephone Number	:	412-678-6927
Fax Number	:

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

Provider Enumeration Date	:	01/25/2010
Last Update Date	:	01/25/2010

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