Provider Demographics
NPI:1649456948
Name:SCHACHTER, NEIL ROBERT (DDS)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:ROBERT
Last Name:SCHACHTER
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 1:17 JENNIFER RD
Mailing Address - Street 2:
Mailing Address - City:GLENVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12302-3927
Mailing Address - Country:US
Mailing Address - Phone:518-424-7599
Mailing Address - Fax:
Practice Address - Street 1:17 JENNIFER RD
Practice Address - Street 2:
Practice Address - City:GLENVILLE
Practice Address - State:NY
Practice Address - Zip Code:12302-3927
Practice Address - Country:US
Practice Address - Phone:518-424-7599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-16
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0361971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice