Gregory L Schultz DMD PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GREGORY L SCHULTZ DMD PC

Doing business as

Keuka Family Dentistry

Practice address

209 Liberty St
Bath, NY 14810-1124

Phone

(607) 776-7656

Fax

(607) 776-7858

NPI assigned

Dec 27, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gregory Louis Schultz, DMDNPI 1851376990

Title

President

Phone

(607) 776-7656

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Keuka Family Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Louis Schultz, DMD

  • Dentist
  • Bath, NY
  • NPI 1851376990
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396722807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 LIBERTY ST",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101124",
            "telephone_number": "607-776-7656",
            "fax_number": "607-776-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 LIBERTY ST",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101124",
            "telephone_number": "607-776-7656",
            "fax_number": "607-776-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY L SCHULTZ DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-776-7656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00458177",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keuka Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brielle Nicole Golden, LMSW
• David A Goodman, PHARM.D.
• John C Gould, LCSW-R
• David Richard Green, LCSW
• Yvonne Dee Greenfield
• Michelle Grosso, MD
• Nancy Gunby, CASAC
• Marlene M Gush, NP
• Rachel J. Gustina, N.P.
• Guthrie Clinic LTD. (Guthrie Medical Group)

• Dentist in Bath, NY
• Providers in Bath, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.