Provider Demographics
NPI:1518367085
Name:JOSEPH R. SCHUCHERT DMD & ASSOCIATES, INC
Entity Type:Organization
Organization Name:JOSEPH R. SCHUCHERT DMD & ASSOCIATES, INC
Other - Org Name:SCHUCHERT ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCHUCHERT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:814-574-3449
Mailing Address - Street 1:1315 W COLLEGE AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-2776
Mailing Address - Country:US
Mailing Address - Phone:814-826-2055
Mailing Address - Fax:
Practice Address - Street 1:1315 W COLLEGE AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-2776
Practice Address - Country:US
Practice Address - Phone:814-826-2055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-03
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0358231223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty