Provider Demographics
NPI:1306992417
Name:SCHWEITZER, DENNIS PAUL (DMD)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:PAUL
Last Name:SCHWEITZER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06052-1302
Mailing Address - Country:US
Mailing Address - Phone:860-827-8801
Mailing Address - Fax:860-827-8801
Practice Address - Street 1:32 CEDAR ST
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06052-1302
Practice Address - Country:US
Practice Address - Phone:860-827-8801
Practice Address - Fax:860-827-8801
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT55571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice