Provider Demographics
NPI:1952496317
Name:FRITSCHE, DONNESE M (DDS)
Entity Type:Individual
Prefix:DR
First Name:DONNESE
Middle Name:M
Last Name:FRITSCHE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1414 E BLANCO RD STE 16
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-1834
Mailing Address - Country:US
Mailing Address - Phone:830-249-9300
Mailing Address - Fax:830-249-9330
Practice Address - Street 1:1414 E BLANCO RD STE 16
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-1834
Practice Address - Country:US
Practice Address - Phone:830-249-9300
Practice Address - Fax:830-249-9330
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX217501223D0001X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No1223D0001XDental ProvidersDentistDental Public Health