Provider Demographics
NPI:1285615609
Name:SCHNITZER, DAVID HAROLD (DDS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:HAROLD
Last Name:SCHNITZER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:877 TIMBER HILL RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-5150
Mailing Address - Country:US
Mailing Address - Phone:847-432-7636
Mailing Address - Fax:847-433-7306
Practice Address - Street 1:1950 SHERIDAN RD
Practice Address - Street 2:SUITE 104
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-2548
Practice Address - Country:US
Practice Address - Phone:847-433-7495
Practice Address - Fax:847-433-7306
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist