| H.johnschutze DDS PC | |
|
453 Dixon Rd Queensbury NY 12804-1964 | |
| (518) 793-3553 | |
| Not Available |
| Full Name | H.johnschutze DDS PC |
|---|---|
| Speciality | Dentist |
| Location | 453 Dixon Rd, Queensbury, New York |
| Authorized Official Name and Position | H. John Schutze (PRESIDENT) |
| Authorized Official Contact | 5187933533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| H.johnschutze DDS PC 453 Dixon Rd Queensbury NY 12804-1964 Ph: (518) 793-3553 | H.johnschutze DDS PC 453 Dixon Rd Queensbury NY 12804-1964 Ph: (518) 793-3553 |
| NPI Number | 1013976679 |
|---|---|
| Provider Enumeration Date | 03/22/2006 |
| Last Update Date | 08/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013976679 | NPI | - | NPPES |
| 00392787 | Medicaid | NY | |
| 02698988 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 031090-1 (New York) | Primary |
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