MEDICARE: DR. LYNN WILLIAM SHULER 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	1223G0001X	General Practice Dentistry	5027	VA

General Provider Information

NPI Number	:	1952346900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LYNN WILLIAM SHULER D.D.S.

Provider Business Mailing Address
First Line	:	6035 BURKE CENTRE PKWY
Second Line	:	SUITE 260
City	:	BURKE
State	:	VA
Zip	:	22015-3750
Country	:	US
Telephone Number	:	703-978-1446
Fax Number	:	703-978-2932

Provider Business Practice Location Address
First Line	:	6035 BURKE CENTRE PKWY
Second Line	:	SUITE 260
City	:	BURKE
State	:	VA
Zip	:	22015-3750
Country	:	US
Telephone Number	:	703-978-1446
Fax Number	:	703-978-2932

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

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	07/08/2007

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