Provider Demographics
NPI:1952411746
Name:SCHULER, STEPHEN THOMAS (DMD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:THOMAS
Last Name:SCHULER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 THOMAS MORE PKWY
Mailing Address - Street 2:SUITE #101
Mailing Address - City:CRESTVIEW HILLS
Mailing Address - State:KY
Mailing Address - Zip Code:41017
Mailing Address - Country:US
Mailing Address - Phone:859-578-9000
Mailing Address - Fax:859-578-9815
Practice Address - Street 1:330 THOMAS MORE PKWY
Practice Address - Street 2:SUITE #101
Practice Address - City:CRESTVIEW HILLS
Practice Address - State:KY
Practice Address - Zip Code:41017
Practice Address - Country:US
Practice Address - Phone:859-578-9000
Practice Address - Fax:859-578-9815
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4071204E00000X
KY1223S0772X1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY4071OtherDENTAL
KY4071OtherDENTAL
0302202Medicare ID - Type Unspecified