Provider Demographics
NPI:1174835953
Name:DANIELLE D. SCHWARTZENBERGER, DDS, PC
Entity Type:Organization
Organization Name:DANIELLE D. SCHWARTZENBERGER, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS, PC
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCHWARTZENBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-254-1802
Mailing Address - Street 1:1540 S HOLLY ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-3978
Mailing Address - Country:US
Mailing Address - Phone:303-757-5885
Mailing Address - Fax:303-757-4445
Practice Address - Street 1:1540 S HOLLY ST
Practice Address - Street 2:SUITE 2
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-3978
Practice Address - Country:US
Practice Address - Phone:303-757-5885
Practice Address - Fax:303-757-4445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-08
Last Update Date:2012-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9627122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty