P Praxis·MD
● Active Type 1 · Individual

DR. Jared Scott Shultz, DDS

Dentist·Tyler, TX· NPI 1124023270 · Enumerated 2005 · 20 years on NPI
Shultz is 1 of 110 dentist providers in Tyler and 1 of 15661 in Texas.
NPI age
20 years
Enumerated 2005-06-16
Primary specialty
Dentist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-09-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 15661 active dentist providers in Texas.

NPI age
20 years
↑ 6 yr above median (14 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-06Enumerated in NPPES
2005 2026

Where they practice

Practice location
4290 Kinsey Dr Ste 300
Tyler, TX 757031022
📞 9036306868fax 9036306871
Mailing address
4290 Kinsey Dr Ste 300
Tyler, TX 757031022
📞 9036306868fax 9036306871

Specialties

  • Dentist Primary
    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.
    TX license #18104 taxonomy 1223G0001X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 3 new dentist providers have been added in Tyler in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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