Provider Demographics
NPI:1912051350
Name:SCHUTTE, UDO HANS (DDS)
Entity Type:Individual
Prefix:MR
First Name:UDO
Middle Name:HANS
Last Name:SCHUTTE
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 1:570 PARK AVENUE ENTRANCE ON 63RD ST 1ST FLOOR
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065
Mailing Address - Country:US
Mailing Address - Phone:212-753-2040
Mailing Address - Fax:212-308-0464
Practice Address - Street 1:570 PARK AVENUE ENTRANCE ON 63RD STREET
Practice Address - Street 2:1ST FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065
Practice Address - Country:US
Practice Address - Phone:212-753-2040
Practice Address - Fax:212-308-0464
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0426941223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics