Provider Demographics
NPI:1487663605
Name:SCHNUPP, PAUL EUGENE JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:EUGENE
Last Name:SCHNUPP
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:404 OLD DUBLIN PKE
Mailing Address - Street 2:313
Mailing Address - City:DUBLIN
Mailing Address - State:PA
Mailing Address - Zip Code:18917
Mailing Address - Country:US
Mailing Address - Phone:275-249-9090
Mailing Address - Fax:275-249-9105
Practice Address - Street 1:404 OLD DUBLIN PKE
Practice Address - Street 2:313
Practice Address - City:DUBLIN
Practice Address - State:PA
Practice Address - Zip Code:18917
Practice Address - Country:US
Practice Address - Phone:275-249-9090
Practice Address - Fax:275-249-9105
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADS024124L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist