Provider Demographics
NPI:1083695019
Name:SCHWARTZ, ARTHUR I (DMD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:I
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:599 NORTH AVE
Mailing Address - Street 2:LAKESIDE OFFICE PARK, DOOR 9
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-1622
Mailing Address - Country:US
Mailing Address - Phone:781-245-8811
Mailing Address - Fax:781-245-9020
Practice Address - Street 1:599 NORTH AVE
Practice Address - Street 2:LAKESIDE OFFICE PARK, DOOR 9
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880-1622
Practice Address - Country:US
Practice Address - Phone:781-245-8811
Practice Address - Fax:781-245-9020
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA129611223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAX10173OtherBC/BS OF MASS ID#