Provider Demographics
NPI:1457456402
Name:SCHWARZER, PETER F (DMD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:F
Last Name:SCHWARZER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1049 SISKIYOU BLVD
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-2238
Mailing Address - Country:US
Mailing Address - Phone:541-488-1328
Mailing Address - Fax:541-488-1342
Practice Address - Street 1:1049 SISKIYOU BLVD
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-2238
Practice Address - Country:US
Practice Address - Phone:541-488-1328
Practice Address - Fax:541-488-1342
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD6555122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist