Provider Demographics
NPI:1194833301
Name:SCHUSLER, DEBORAH LEA (DDS)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:LEA
Last Name:SCHUSLER
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 1:506 PARK HILL CT
Mailing Address - Street 2:SUITE 3
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28739
Mailing Address - Country:US
Mailing Address - Phone:828-692-8939
Mailing Address - Fax:828-697-7338
Practice Address - Street 1:506 PARK HILL CT
Practice Address - Street 2:SUITE 3
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739
Practice Address - Country:US
Practice Address - Phone:828-692-8939
Practice Address - Fax:828-697-7338
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC66011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
1367243OtherUNITED CONCORDIA
NC9004NOtherBLUE CROSS BLUE SHIELD
NC5900393Medicaid