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1315 W College Ave Suite 201 State College PA 16801-2776 | |
(814) 826-2055 | |
Not Available |
Full Name | |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1315 W College Ave, State College, Pennsylvania |
Authorized Official Name and Position | Joseph R Schuchert (PRESIDENT, ORTHODONTIST) |
Authorized Official Contact | 8145743449 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1315 W College Ave Suite 201 State College PA 16801-2776 Ph: (814) 826-2055 | 1315 W College Ave Suite 201 State College PA 16801-2776 Ph: (814) 826-2055 |
NPI Number | 1518367085 |
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Provider Enumeration Date | 09/03/2014 |
Last Update Date | 09/03/2014 |
Identifier | Type | State | Issuer |
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1518367085 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DS035823 (Pennsylvania) | Primary |
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