Provider Demographics
NPI:1194769208
Name:SCHUETZ, GEORGE J (DDS; MS)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:J
Last Name:SCHUETZ
Suffix:
Gender:M
Credentials:DDS; MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 PALMER COURT - ROUTE 5
Mailing Address - Street 2:
Mailing Address - City:WILDER
Mailing Address - State:VT
Mailing Address - Zip Code:05088-0429
Mailing Address - Country:US
Mailing Address - Phone:802-649-8277
Mailing Address - Fax:
Practice Address - Street 1:144 PALMER COURT - ROUTE 5
Practice Address - Street 2:
Practice Address - City:WILDER
Practice Address - State:VT
Practice Address - Zip Code:05088-0429
Practice Address - Country:US
Practice Address - Phone:802-649-8277
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT016-00005371223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics