Provider Demographics
NPI:1609381516
Name:LAURA M SCHILLER DDS LLC
Entity Type:Organization
Organization Name:LAURA M SCHILLER DDS LLC
Other - Org Name:SCHILLER DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCHILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:513-922-7111
Mailing Address - Street 1:5330 GLENWAY AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-3707
Mailing Address - Country:US
Mailing Address - Phone:513-922-7111
Mailing Address - Fax:513-922-1771
Practice Address - Street 1:5330 GLENWAY AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-3707
Practice Address - Country:US
Practice Address - Phone:513-922-7111
Practice Address - Fax:513-922-1771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-14
Last Update Date:2017-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0234911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty