Provider Demographics
NPI:1821980889
Name:SCHULTZ, SYDNEY KATHERINE (DDS)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:KATHERINE
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:
Other - Last Name:EATON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:818 SHIRLEY ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:SD
Mailing Address - Zip Code:57032-2762
Mailing Address - Country:US
Mailing Address - Phone:641-530-3892
Mailing Address - Fax:
Practice Address - Street 1:1110 W 5TH ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:SD
Practice Address - Zip Code:57013-1543
Practice Address - Country:US
Practice Address - Phone:605-987-2721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDD14911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice