# KENNETH D SCHWARTZ DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467721662
- **Authorized official:** KENNETH D SCHWARTZ DDS (OWNER)
- **Authorized official phone:** (518) 374-1935

## Contact information

- **Practice address:** 833 UNION ST, SCHENECTADY, NY 12308-3103
- **Practice address phone:** (518) 374-1935
- **Practice address fax:** (518) 374-1982
- **Mailing address:** 833 UNION ST, SCHENECTADY, NY 12308-3103
- **Mailing address phone:** (518) 374-1935
- **Mailing address fax:** (518) 374-1982

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 032763 | NY | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 12/19/2011
- **Last updated:** 09/13/2024