Individual
DR. GERALD J. SCHNEEBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
163 SOUTH BELLEW AVENUE, WATERTOWN, NY 13601
(315) 786-3990
(315) 786-3991
Mailing address
163 SOUTH BELLEW AVENUE, WATERTOWN, NY 13601
(315) 786-3990
(315) 786-3991
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
042104
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01242171
—
NY
Enumeration date
10/23/2006
Last updated
10/19/2015
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