Provider Demographics
NPI:1679911929
Name:SHVARTS, OLGA (DMD)
Entity Type:Individual
Prefix:DR
First Name:OLGA
Middle Name:
Last Name:SHVARTS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1261 BOYD RD
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-2260
Mailing Address - Country:US
Mailing Address - Phone:215-802-6015
Mailing Address - Fax:
Practice Address - Street 1:316 YORK RD
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-4500
Practice Address - Country:US
Practice Address - Phone:215-383-6700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-10
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS039504122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist