Provider Demographics
NPI:1659428613
Name:SCHWARTZ, ANTHONY H (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:H
Last Name:SCHWARTZ
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 1:550 N BROADWAY
Mailing Address - Street 2:SUITE 406
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21205-2020
Mailing Address - Country:US
Mailing Address - Phone:410-732-4433
Mailing Address - Fax:410-732-4414
Practice Address - Street 1:550 N BROADWAY
Practice Address - Street 2:SUITE 406
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21205-2020
Practice Address - Country:US
Practice Address - Phone:410-732-4433
Practice Address - Fax:410-732-4414
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD64351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDT59902Medicare UPIN