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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KEVIN KELSO SCHULTZ, DDS

Active Sole Proprietor

DR. KEVIN KELSO SCHULTZ, DDS is a General Dentistry healthcare provider located in BLOOMINGTON, Illinois. NPI 1427099167 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · BLOOMINGTON, IL

Registration Details

NPI Number
1427099167
Provider Type
Individual
Gender
Male
NPI Issued
Jun 10, 2006 (20.143376577177 yrs)
Last Updated
Feb 19, 2015
License
019-018656 (IL)
Sole Proprietor
Yes

Practice Information

Address
10 HEARTLAND DR
SUITE C
BLOOMINGTON, IL, 617047741
Browse IL providers · Browse ZIP 61704
Phone
3096631721
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in BLOOMINGTON, IL

Name Credential NPI
DR. REX DALE MOORE DDS 1669468344
ERIC ABREU D.D.S 1750304655
DR. NEZAR AHMED KASSEM D.D.S. 1700975653
DAVID SCOTT HUME D.D.S. 1598835530
DR. MARK BURGESS DMD 1154492593
DANIEL WARREN STEADMAN D.D.S. 1972674455
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.