Provider Demographics
NPI:1477666535
Name:DENTAL HEALTH GROUP, TERRENCE P. FLINN, D.D.S., TED A SCHUSTER, D.D.S.
Entity Type:Organization
Organization Name:DENTAL HEALTH GROUP, TERRENCE P. FLINN, D.D.S., TED A SCHUSTER, D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:ROCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-332-8585
Mailing Address - Street 1:1410 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OH
Mailing Address - Zip Code:44460-2329
Mailing Address - Country:US
Mailing Address - Phone:330-332-8585
Mailing Address - Fax:330-332-9320
Practice Address - Street 1:1410 E STATE ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OH
Practice Address - Zip Code:44460-2329
Practice Address - Country:US
Practice Address - Phone:330-332-8585
Practice Address - Fax:330-332-9320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental