Provider Demographics
NPI:1023205333
Name:NATHAN D SCHWARTZ, DDS LLC
Entity Type:Organization
Organization Name:NATHAN D SCHWARTZ, DDS LLC
Other - Org Name:HENDERSON FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:702-564-2526
Mailing Address - Street 1:537 S BOULDER HWY STE A
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-8163
Mailing Address - Country:US
Mailing Address - Phone:702-564-2526
Mailing Address - Fax:702-565-7852
Practice Address - Street 1:537 S BOULDER HWY STE A
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89015-8163
Practice Address - Country:US
Practice Address - Phone:702-564-2526
Practice Address - Fax:702-565-7852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4800122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty