Provider Demographics
NPI:1871680504
Name:SCHUSTER, RUDOLF (DDS)
Entity Type:Individual
Prefix:MR
First Name:RUDOLF
Middle Name:
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:PO BOX 356
Mailing Address - Street 2:
Mailing Address - City:ORWELL
Mailing Address - State:OH
Mailing Address - Zip Code:44076
Mailing Address - Country:US
Mailing Address - Phone:440-437-8551
Mailing Address - Fax:
Practice Address - Street 1:60 NORTH MAPLE ST
Practice Address - Street 2:
Practice Address - City:ORWELL
Practice Address - State:OH
Practice Address - Zip Code:44076
Practice Address - Country:US
Practice Address - Phone:440-437-8551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30015340122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist