National Provider Identifier

Miranda M Schult, RDH

Miranda M Schult, RDH is listed in the NPPES registry with a primary specialty of Dental Hygienist in Brockport, NY and a listed phone number of (585) 637-3905.

NPI 1689829855Brockport, NYDental Hygienist

Profile Overview

NPI
1689829855
Provider Type
Individual
Primary Specialty
Dental Hygienist
Enumeration Date
December 01, 2008
Last Updated
December 01, 2008

Practice Location

  • 300 West Ave
  • Brockport, NY 14420-1118

Phone: (585) 637-3905

Specialties

  • Dental Hygienist (124Q00000X)
Full Record
NPI
1689829855
Entity Type
Individual
Last Name
Schult
First Name
Miranda
Middle Name
M
Credential
RDH
Mailing Street Address
300 West Ave
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-1118
Mailing Country
US
Mailing Phone
(585) 637-3905
Mailing Fax
(585) 637-4990
Practice Street Address
300 West Ave
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-1118
Practice Country
US
Practice Phone
(585) 637-3905
Practice Fax
(585) 637-4990
Enumeration Date
December 01, 2008
Last Updated
December 01, 2008
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dental Hygienist (124Q00000X)