Provider Demographics
NPI:1831347855
Name:SCHLEUCHER, LAURA L (DDS)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:L
Last Name:SCHLEUCHER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 N ENTERPRISE ST
Mailing Address - Street 2:P.O. BOX 650
Mailing Address - City:CELINA
Mailing Address - State:OH
Mailing Address - Zip Code:45822-1806
Mailing Address - Country:US
Mailing Address - Phone:419-586-1661
Mailing Address - Fax:419-584-0424
Practice Address - Street 1:136 N ENTERPRISE ST
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:OH
Practice Address - Zip Code:45822-1806
Practice Address - Country:US
Practice Address - Phone:419-586-1661
Practice Address - Fax:419-584-0424
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0228031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice