Provider Demographics
NPI:1144401969
Name:SCHWARTZ, CARRIE L (DDS,MS,PA)
Entity Type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:L
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:DDS,MS,PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31454 WINTERPLACE PKWY
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-1891
Mailing Address - Country:US
Mailing Address - Phone:410-546-0787
Mailing Address - Fax:410-546-3713
Practice Address - Street 1:31454 WINTERPLACE PKWY
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-1891
Practice Address - Country:US
Practice Address - Phone:410-546-0787
Practice Address - Fax:410-546-3713
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-20
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD123271223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics