Dental Express Boardman, Ted A Schuster Dds Llc

LBN: Dental Express Boardman, Ted A Schuster Dds Llc
Dental Express Boardman, Ted A Schuster Dds Llc is an health care organization with primary practice located at 6540 South Ave , Boardman OH 44512-3651. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Dental Express Boardman, Ted A Schuster Dds Llc can be contacted via phone (330) 533-3400, or through Mauerman, Amy R via phone (330) 533-3400.

Contact Information

Primary practice address
6540 South Ave Boardman OH 44512-3651
Fax:
Website:
Authorized official contact:
Name: Mauerman, Amy R

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 30022311 Ohio
Dental Providers / Dentist 122300000X 30015046 Ohio
Dental Providers / Dentist 122300000X 30020654 Ohio
Dental Providers / Dentist 122300000X 30-012873 Ohio
Dental Providers / Dentist 122300000X 30-01955 Ohio
Dental Providers / Dentist 122300000X 30-022882 Ohio
Dental Providers / Dentist 122300000X 30-023087 Ohio

Profile Details

NPI number 1962730549
LBN Legal business name Dental Express Boardman, Ted A Schuster Dds Llc
DBA Doing business as
Authorized official Mauerman, Amy R
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2009
Last updated Jul 20th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962730549 NPPES
Ohio MEDICAID 2966992
Ohio MEDICAID 0296166
Ohio MEDICAID 2994578

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