Provider Demographics
NPI:1033373485
Name:SCHLOESSER, KATHERINE ROSALIE (DMD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ROSALIE
Last Name:SCHLOESSER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:ROSALIE
Other - Last Name:RICKARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:554 HAMLIN HWY
Mailing Address - Street 2:
Mailing Address - City:LAKE ARIEL
Mailing Address - State:PA
Mailing Address - Zip Code:18436-9319
Mailing Address - Country:US
Mailing Address - Phone:570-253-0358
Mailing Address - Fax:570-352-3395
Practice Address - Street 1:554 HAMLIN HWY
Practice Address - Street 2:
Practice Address - City:LAKE ARIEL
Practice Address - State:PA
Practice Address - Zip Code:18436-9319
Practice Address - Country:US
Practice Address - Phone:570-253-0358
Practice Address - Fax:570-352-3395
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2022-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0375121223P0221X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry