Provider Demographics
NPI:1902848674
Name:SCOTT C. SCHWARTZ DBS CHILDREN & ADULT DENTISTRY
Entity Type:Organization
Organization Name:SCOTT C. SCHWARTZ DBS CHILDREN & ADULT DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:239-939-7070
Mailing Address - Street 1:7250 COLLEGE PKWY
Mailing Address - Street 2:#5
Mailing Address - City:FT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-5661
Mailing Address - Country:US
Mailing Address - Phone:239-939-7070
Mailing Address - Fax:
Practice Address - Street 1:7250 COLLEGE PKWY
Practice Address - Street 2:#5
Practice Address - City:FT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-5661
Practice Address - Country:US
Practice Address - Phone:239-939-7070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN127911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty