Provider Demographics
NPI:1891777801
Name:SCHULER, JOHN L (DDS,MS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:L
Last Name:SCHULER
Suffix:
Gender:M
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2425 W CORNERSTONE CT
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61614-2495
Mailing Address - Country:US
Mailing Address - Phone:309-692-3000
Mailing Address - Fax:309-692-4477
Practice Address - Street 1:2425 W CORNERSTONE CT
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61614-2494
Practice Address - Country:US
Practice Address - Phone:309-692-3000
Practice Address - Fax:309-692-4477
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics