Provider Demographics
NPI:1538259734
Name:SCHAUS, PAUL VINCENT (DDS)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:VINCENT
Last Name:SCHAUS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2816 STEARNS WAY
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-1373
Mailing Address - Country:US
Mailing Address - Phone:612-916-2121
Mailing Address - Fax:
Practice Address - Street 1:3154 VIKING BLVD NW
Practice Address - Street 2:
Practice Address - City:OAK GROVE
Practice Address - State:MN
Practice Address - Zip Code:55011-9339
Practice Address - Country:US
Practice Address - Phone:763-753-5336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND122831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice