Mark G. Schuller D.D.S.,P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

039184 Issued in NY

Legal business name

MARK G. SCHULLER D.D.S.,P.C.

Practice address

602 W Water St
Elmira, NY 14905-2410

Phone

(607) 733-0830

Fax

(607) 733-0830

NPI assigned

Apr 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark G. Schuller, D.D.S.NPI 1487643771

Title

President

Phone

(607) 733-0830

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark G Schuller, D.D.S.

  • Dentist
  • Elmira, NY
  • NPI 1487643771
  NPD (past) Authorized official
• Susan M Minchin, DDS

  • Dentist
  • Elmira, NY
  • NPI 1366702300
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043438120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 W WATER ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149052410",
            "telephone_number": "607-733-0830",
            "fax_number": "607-733-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W WATER ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149052410",
            "telephone_number": "607-733-0830",
            "fax_number": "607-733-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK G. SCHULLER D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHULLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-733-0830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "039184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph P Manzullo, RPH
• Colette Marcellus, LCSW
• Erin Marean
• Antoinette Maria, NP
• Joseph John Marino, DC
• Marriage and Family Therapy Services of the Southern Tier, P.C.
• Janet Lynn Martin, FNP-C
• Kayleigh Mae Martin, PA
• Teri A Martin, F.N.P.
• Tracy L Martine, CRNP

• General Practice Dentistry in Elmira, NY
• Providers in Elmira, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.