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DENTAL EXPRESS BOARDMAN TED A SCHUSTER DDS LLC NPI 1962730549


NPI Information

NPI: 1962730549
Provider Name: DENTAL EXPRESS BOARDMAN, TED A SCHUSTER DDS LLC
Classification: Dentist - 122300000X
Entity Type: Organization
Address:
6540 SOUTH AVE
BOARDMAN, OH
ZIP 44512
Phone: (330) 533-3400
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DENTAL EXPRESS BOARDMAN, TED A SCHUSTER DDS LLC is a dentist in Boardman, OH. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. DENTAL EXPRESS BOARDMAN, TED A SCHUSTER DDS LLC NPI is 1962730549. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6540 SOUTH AVE
BOARDMAN, OH
ZIP 44512-651
Phone: (330) 533-3400

The provider's authorized official is Amy R Mauerman .
The authorized official title is Administrative Director and has the following contact phone number (330) 533-3400.

The enumeration date for this NPI number is 11/19/2009 and was last updated on 7/20/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist30022311OHIONo
2122300000XDentist30015046OHIONo
3122300000XDentist30-012873OHIONo
4122300000XDentist30-01955OHIONo
5122300000XDentist30-022882OHIONo
6122300000XDentist30-023087OHIONo
7122300000XDentist30020654OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12966992MEDICAIDOHIO
22994578MEDICAIDOHIO
30296166MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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