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General NPI Number Information
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NPI Number | 1467721662
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Entity Type | Organization
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Legal Business Name | KENNETH D SCHWARTZ DDS PC
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Dates
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Enumeration Date | 12/19/2011
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 833 UNION ST
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City | SCHENECTADY
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State | NY
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Zip | 12308-3103
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Country | US
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Telephone | 518-374-1935
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Fax | 518-374-1982
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Provider Business Mailing Address
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Address Line | 833 UNION ST
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City | SCHENECTADY
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State | NY
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Zip | 12308-3103
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Country | US
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Telephone | 518-374-1935
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Fax | 518-374-1982
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Authorized Official
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Title or Position | OWNER
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Name | KENNETH D SCHWARTZ
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Credential | DDS
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Telephone | 518-374-1935
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 032763
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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