Provider Demographics
NPI:1154497261
Name:SCHWARTZ, JOEL L (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:L
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15020 SHADY GROVE RD
Mailing Address - Street 2:SUITE 325
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3364
Mailing Address - Country:US
Mailing Address - Phone:301-738-2111
Mailing Address - Fax:301-738-6438
Practice Address - Street 1:15020 SHADY GROVE RD
Practice Address - Street 2:SUITE 325
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3364
Practice Address - Country:US
Practice Address - Phone:301-738-2111
Practice Address - Fax:301-738-6438
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD81711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice