Provider Demographics
NPI:1548529621
Name:GINSBURG, JANELL SCHUETZE (DMD)
Entity type:Individual
Prefix:DR
First Name:JANELL
Middle Name:SCHUETZE
Last Name:GINSBURG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:668 SW RIMROCK WAY
Mailing Address - Street 2:SUITE #B
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-1964
Mailing Address - Country:US
Mailing Address - Phone:541-923-1883
Mailing Address - Fax:541-923-1869
Practice Address - Street 1:668 SW RIMROCK WAY
Practice Address - Street 2:SUITE #B
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-1964
Practice Address - Country:US
Practice Address - Phone:541-923-1883
Practice Address - Fax:541-923-1869
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-10
Last Update Date:2012-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR6802122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist