Provider Demographics
NPI:1629143870
Name:SWARTZ, DONALD FREDERICK (DDS)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:FREDERICK
Last Name:SWARTZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1390
Mailing Address - Street 2:
Mailing Address - City:RIDGWAY
Mailing Address - State:CO
Mailing Address - Zip Code:81432-1390
Mailing Address - Country:US
Mailing Address - Phone:970-626-3303
Mailing Address - Fax:970-626-4469
Practice Address - Street 1:195A SOUTH LENA ST
Practice Address - Street 2:
Practice Address - City:RIDGWAY
Practice Address - State:CO
Practice Address - Zip Code:81432-1390
Practice Address - Country:US
Practice Address - Phone:970-626-3303
Practice Address - Fax:970-626-4469
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3699122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist