Provider Demographics
NPI:1508140724
Name:SWARTZ, JASON J (DMD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:J
Last Name:SWARTZ
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 1:2477 STICKNEY POINT RD
Mailing Address - Street 2:100A
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-4076
Mailing Address - Country:US
Mailing Address - Phone:941-924-7571
Mailing Address - Fax:941-922-6815
Practice Address - Street 1:2477 STICKNEY POINT RD
Practice Address - Street 2:100A
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-4076
Practice Address - Country:US
Practice Address - Phone:941-924-7571
Practice Address - Fax:941-922-6815
Is Sole Proprietor?:No
Enumeration Date:2011-10-06
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN158771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice