Provider Demographics
NPI:1043226103
Name:SCHWARTZ, BRUCE H (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:H
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:DDS MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 ADAMS RD
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-1301
Mailing Address - Country:US
Mailing Address - Phone:413-774-5219
Mailing Address - Fax:
Practice Address - Street 1:7 ADAMS RD
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-1301
Practice Address - Country:US
Practice Address - Phone:413-774-5219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA153721223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics