Provider Demographics
NPI:1164079810
Name:ANDREW SCHWARTZ-HINDS DMD PLLC
Entity Type:Organization
Organization Name:ANDREW SCHWARTZ-HINDS DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCHWARTZ-HINDS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:207-432-2345
Mailing Address - Street 1:65 EGERTON RD APT 2
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02474-8533
Mailing Address - Country:US
Mailing Address - Phone:207-432-2345
Mailing Address - Fax:
Practice Address - Street 1:825 CAMBRIDGE ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02141-1429
Practice Address - Country:US
Practice Address - Phone:207-432-2345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-19
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1255717062Medicaid