Provider Demographics
NPI:1649247990
Name:HULY-SHULER, RAE ANNE (DMD)
Entity type:Individual
Prefix:DR
First Name:RAE
Middle Name:ANNE
Last Name:HULY-SHULER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 W MCKINLEY WAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-1688
Mailing Address - Country:US
Mailing Address - Phone:330-757-8599
Mailing Address - Fax:330-757-8591
Practice Address - Street 1:263 W MCKINLEY WAY
Practice Address - Street 2:SUITE 201
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-1688
Practice Address - Country:US
Practice Address - Phone:330-757-8599
Practice Address - Fax:330-757-8591
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH213431223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics