Organization
KENNETH D SCHWARTZ DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH D SCHWARTZ DDS (OWNER)
(518) 374-1935
Entity
Organization
Contact information
Practice address
833 UNION ST, SCHENECTADY, NY 12308-3103
(518) 374-1935
(518) 374-1982
Mailing address
833 UNION ST, SCHENECTADY, NY 12308-3103
(518) 374-1935
(518) 374-1982
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
032763
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00437403
—
NY
Enumeration date
12/19/2011
Last updated
09/13/2024
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