Provider Demographics
NPI:1295714004
Name:SCHUELER, LORETTA ANN (DDS)
Entity type:Individual
Prefix:DR
First Name:LORETTA
Middle Name:ANN
Last Name:SCHUELER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1981 TURNBERRY CT
Mailing Address - Street 2:
Mailing Address - City:FINKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21048-1561
Mailing Address - Country:US
Mailing Address - Phone:612-384-9270
Mailing Address - Fax:410-861-9027
Practice Address - Street 1:1030 LIBERTY RD
Practice Address - Street 2:SUITE 101
Practice Address - City:ELDERSBURG
Practice Address - State:MD
Practice Address - Zip Code:21784-7941
Practice Address - Country:US
Practice Address - Phone:410-552-5230
Practice Address - Fax:410-552-5231
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD117421223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD126510OtherGUARDIAN
MD202461487-001OtherBC/BS-REGIONAL DENTAL NET
MDK8560001OtherBC/BS MEDICAL-GHMSI
MD267CLAOtherBC/BS MEDICAL-CAREFIRST
MD76326OtherDENTAL HEALTH ALLIANCE
MD121653-1OtherUNITED HEALTH
MD9396038OtherPHCS
MD00000894937OtherUNITED CONCORDIA
MD1089219OtherHMO AETNA OPEN ACCESS
MDDM89LAOtherBC/BS-CAREFIRST
MD7028689OtherAETNA OPEN CHOICE
MD75275OtherDENTAL HEALTH ALLIANCE