Provider Demographics
NPI:1902028673
Name:SCHWARTZ, WILLIAM M (DDS)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:M
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 1:5330 MEADOW LANE CT
Mailing Address - Street 2:SUITE B
Mailing Address - City:SHEFFIELD VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44035-1469
Mailing Address - Country:US
Mailing Address - Phone:440-365-9872
Mailing Address - Fax:440-934-9203
Practice Address - Street 1:5330 MEADOW LANE CT
Practice Address - Street 2:SUITE B
Practice Address - City:SHEFFIELD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44035-1469
Practice Address - Country:US
Practice Address - Phone:440-365-9872
Practice Address - Fax:440-934-9203
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH166331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice