Provider Demographics
NPI:1265837785
Name:LORETTA A SCHUELER, DDS, INC
Entity Type:Organization
Organization Name:LORETTA A SCHUELER, DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:LORETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUELER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-552-5230
Mailing Address - Street 1:1030 LIBERTY RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ELDERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21784-7941
Mailing Address - Country:US
Mailing Address - Phone:410-552-5230
Mailing Address - Fax:443-276-6663
Practice Address - Street 1:1030 LIBERTY RD
Practice Address - Street 2:SUITE 101
Practice Address - City:ELDERSBURG
Practice Address - State:MD
Practice Address - Zip Code:21784-7941
Practice Address - Country:US
Practice Address - Phone:410-552-5230
Practice Address - Fax:443-276-6663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-27
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty