Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathleen Schultz

Individual provider Pediatric Dentistry · NPI 1043633365

Kathleen Schultz is a Dentist in New Hyde Park, New York. Qualified in 2014, 12 years ago. Practices with Black Hall Dental PC, an 8-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

27005 76th Ave
New Hyde Park, NY 11040-1402
Phone: (860) 532-9299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Pathology Dentistry (primary) Taxonomy 1223P0106X · Licence 060307 (NY)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 060307 (NY)

Record details

NPI number1043633365
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 22, 2014
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Also practisesPATHOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Black Hall Dental Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in New Hyde Park