Provider Demographics
NPI:1437370640
Name:SCHWARTZ, WILLIAM THEODORE II (DDS)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:THEODORE
Last Name:SCHWARTZ
Suffix:II
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:W
Other - Middle Name:THEODORE
Other - Last Name:SCHWARTZ
Other - Suffix:II
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:15455 US HIGHWAY 441
Mailing Address - Street 2:
Mailing Address - City:EUSTIS
Mailing Address - State:FL
Mailing Address - Zip Code:32726-8321
Mailing Address - Country:US
Mailing Address - Phone:352-399-0911
Mailing Address - Fax:
Practice Address - Street 1:15455 US HIGHWAY 441
Practice Address - Street 2:
Practice Address - City:EUSTIS
Practice Address - State:FL
Practice Address - Zip Code:32726-8321
Practice Address - Country:US
Practice Address - Phone:352-399-0911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN50601223E0200X
PADS017117L1223E0200X
DEG100007681223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics