Provider Demographics
NPI:1730332289
Name:SCHILLING, JODY FRANCES (DDS)
Entity type:Individual
Prefix:DR
First Name:JODY
Middle Name:FRANCES
Last Name:SCHILLING
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 DELAWARE ST SE
Mailing Address - Street 2:MOOS TOWER, RM 7-360
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455-0357
Mailing Address - Country:US
Mailing Address - Phone:612-625-6177
Mailing Address - Fax:612-626-2652
Practice Address - Street 1:515 DELAWARE ST SE
Practice Address - Street 2:MOOS TOWER, RM 7-360
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-0357
Practice Address - Country:US
Practice Address - Phone:612-625-6177
Practice Address - Fax:612-626-2652
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND12594122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist