Shults, Lawrence

Shults, Lawrence is an sole proprietor health care provider with primary practice located at 3549 E Brown Rd Ste 102 , Mesa AZ 85213-5508. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Shults, Lawrence can be contacted via phone (480) 634-5686.

Contact Information

Primary practice address
3549 E Brown Rd Ste 102 Mesa AZ 85213-5508
Phone: (480) 634-5686
Fax: (888) 620-3210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D6953 Arizona
Dental Providers / Pediatric Dentistry 1223P0221X D6953 Arizona

Profile Details

NPI number 1467570606
LBN Legal business name Shults, Lawrence
Credentials D.D.S. MSD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
Last updated Nov 24th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1467570606 NPPES
Arizona MEDICAID 117337

Popular Providers