Individual
DR. JERRY J. SHUTSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
661 W MAIN ST, UNIONTOWN DENTAL CARE PC, UNIONTOWN, PA 15401-2646
(724) 439-4444
(724) 439-4449
Mailing address
661 W MAIN ST, UNIONTOWN DENTAL CARE PC, UNIONTOWN, PA 15401-2646
(724) 439-4444
(724) 439-4449
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS023029L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025817
UNITED CONCORDIA
PA
05
—
1007529750001
—
PA
Enumeration date
01/05/2006
Last updated
07/08/2007
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