Provider Demographics
NPI:1356302582
Name:SCHUSTER, ALVIN MEYER (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALVIN
Middle Name:MEYER
Last Name:SCHUSTER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11710 REISTERSTOWN RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-3363
Mailing Address - Country:US
Mailing Address - Phone:410-833-8380
Mailing Address - Fax:410-517-3441
Practice Address - Street 1:11710 REISTERSTOWN RD
Practice Address - Street 2:SUITE 201
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-3363
Practice Address - Country:US
Practice Address - Phone:410-833-8380
Practice Address - Fax:410-517-3441
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD7248122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist