Provider Demographics
NPI:1003122748
Name:SCHUETTER, VERNA L (DDS)
Entity Type:Individual
Prefix:DR
First Name:VERNA
Middle Name:L
Last Name:SCHUETTER
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 1:1612 LAURADALE DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-2944
Mailing Address - Country:US
Mailing Address - Phone:707-631-9645
Mailing Address - Fax:
Practice Address - Street 1:1612 LAURADALE DR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-2944
Practice Address - Country:US
Practice Address - Phone:707-631-9645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-18
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANOT YET ISSUED1223G0001X
LA6317122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist