Provider Demographics
NPI:1922141159
Name:SCHLUSSEL, HERBERT (DDS)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:
Last Name:SCHLUSSEL
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 1:10 BOXWOOD LN
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-2925
Mailing Address - Country:US
Mailing Address - Phone:914-779-6522
Mailing Address - Fax:914-779-6675
Practice Address - Street 1:740 TUCKAHOE RD
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-5241
Practice Address - Country:US
Practice Address - Phone:914-779-6522
Practice Address - Fax:914-779-6675
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY233631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice