Provider Demographics
NPI:1598769572
Name:SCHWAN, ROBERT M (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:M
Last Name:SCHWAN
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 1:606 E MARSHALL ST
Mailing Address - Street 2:STE 202
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-4455
Mailing Address - Country:US
Mailing Address - Phone:610-431-0700
Mailing Address - Fax:610-431-2056
Practice Address - Street 1:606 E MARSHALL ST
Practice Address - Street 2:STE 202
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4455
Practice Address - Country:US
Practice Address - Phone:610-431-0700
Practice Address - Fax:610-431-2056
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS017137L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice