Individual
DR. JONATHAN MICHAEL SCHUTZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
453 DIXON RD, SUITE 3, QUEENSBURY, NY 12804-1964
(518) 793-3553
Mailing address
453 DIXON RD, SUITE 3, QUEENSBURY, NY 12804-1964
(518) 793-3553
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
048231-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02698988
—
NY
Enumeration date
03/24/2006
Last updated
08/14/2007
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