Individual provider · Type 1 NPI

Shelby Quinn Coulter Koschuck, DDS

General Practice Dentistry · Maywood, IL

NPI number 1508494469 Active

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328

Call (708) 327-3041 Map

Fax (708) 327-3489

Mailing address

846 Kenwood Blvd.
Windsor, ONT N9J3C5

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X018002146 (IL)

General Practice Dentistry: 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.

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About NPI 1508494469

Shelby Quinn Coulter Koschuck, DDS's National Provider Identifier is 1508494469, issued on Mar 27, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Maywood, IL. The record was last updated on Sep 13, 2020.