DR. ROBERT DALE SHULTZ (NPI# 1588753016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588753016 |
| Entity Type | Individual |
| Full Name | DR. ROBERT DALE SHULTZ |
| Credential | D.D.S. |
| Practice Address |
5640 Clayton Cir Roscoe IL 61073-9503 |
| Mailing Address |
8180 Burr Oak Rd Roscoe IL 61073-9009 |
| Practice Telephone | 8156237366 |
| Practice Fax Number | 8156237331 |
| Mailing Telephone | 8156236185 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396734943 | Robert A Shultz | Internal Medicine | 2572 W State Rd 426, Ste 1000, Oviedo, FL 32765-8310 | 2005-10-17 |
| 1245312438 | Robert G Shultz | Internal Medicine | 1300 Millersville Pike, Lancaster, PA 17603-6614 | 2006-10-19 |
| Street Address |
5640 CLAYTON CIR |
| City | ROSCOE |
| State | IL |
| Zip Code | 61073-9503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811544505 | Jaclyn Kilby | Dentist | 5640 Clayton Cir, Roscoe, IL 61073-9503 | 2019-08-19 |
| 1912458399 | Matthew C Dziarski | Dentist | 5640 Clayton Cir, Roscoe, IL 61073-9503 | 2016-10-20 |
| 1780839837 | Roscoe Family Dental Center, P.C. | Dentist | 5640 Clayton Cir, Roscoe, IL 61073-9503 | 2008-11-17 |
| 1104008515 | Vaughn De Guzman | Dentist | 5640 Clayton Cir, Roscoe, IL 61073-9503 | 2007-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396234746 | Zachary J Rio | Physical Therapist | 4675 Bluestem Rd Ste 1, Roscoe, IL 61073 | 2018-05-01 |
| 1548702954 | Vicki Foti | Registered Nurse | 4828 Rockton Road, Roscoe, IL 61073 | 2016-11-16 |
| 1174074975 | James B Garrison | Social Worker | 11447 2nd St, Ste 9b, Roscoe, IL 61073 | 2016-10-18 |
| 1932457355 | Annie Pamela Stephens | Chiropractor | 11673 Main St., Roscoe, IL 61073 | 2012-08-15 |
| 1255602819 | Trent Michael Hippard | Chiropractor | 15724 B Elevator Rd, Roscoe, IL 61073 | 2012-01-13 |
| 1689856437 | Martha M Muldowney | Dentist | 5464 Pine Lane, Roscoe, IL 61073 | 2007-12-04 |
| 1396885794 | Richard Scott Newcomb | Optometrist | 11710 Main St Suite 2, Roscoe, IL 61073 | 2007-02-07 |
| 1356459754 | Margaret Allensworth Franklin | Counselor | 9830 Double Ditch Circle, Roscoe, IL 61073 | 2006-08-26 |
| 1811002660 | Cjn Therapy Services LLC | Counselor | 5334 Williams Drive, Roscoe, IL 61073 | 2006-08-20 |
| 1033142575 | Trina Renee Morgan | Chiropractor | 5724 B Elevator Rd, Roscoe, IL 61073 | 2006-07-08 |
| Find all providers in zip 61073 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689856437 | Martha M Muldowney | Dentist | 5464 Pine Lane, Roscoe, IL 61073 | 2007-12-04 |
| 1780885905 | Janice Marian Ethington | Dentist | 5464 Pine Ln, Box 316, Roscoe, IL 61073-7313 | 2007-05-29 |
| 1760562334 | John David Keller Iv | Dentist | 4920 Hononegah Rd, Roscoe, IL 61073-7778 | 2006-10-17 |
| 1235240730 | Mark S Bradel | Dentist | 5647 Elevator Rd, Roscoe, IL 61073-8879 | 2006-08-31 |
| 1114963105 | Mommers & Muldowney | Dentist | 5472 Reimer Dr, Roscoe, IL 61073-9228 | 2006-06-20 |
| 1811544505 | Jaclyn Kilby | Dentist | 5640 Clayton Cir, Roscoe, IL 61073-9503 | 2019-08-19 |
| 1780839837 | Roscoe Family Dental Center, P.C. | Dentist | 5640 Clayton Cir, Roscoe, IL 61073-9503 | 2008-11-17 |
| 1891977096 | Emil Mommers P.C. | Dentist | 5472 Reimer Dr, Roscoe, IL 61073-9228 | 2007-11-29 |
| 1104008515 | Vaughn De Guzman | Dentist | 5640 Clayton Cir, Roscoe, IL 61073-9503 | 2007-11-28 |
| 1659552834 | Emil A Mommers | Dentist | 5472 Reimer Dr, Roscoe, IL 61073-9228 | 2007-11-16 |
| Find all providers in ROSCOE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.