Provider Demographics
NPI:1134186026
Name:SCHWARTZ, ALAN A (DMD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:A
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1044 LACEY RD
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:FORKED RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08731-1051
Mailing Address - Country:US
Mailing Address - Phone:609-693-6090
Mailing Address - Fax:609-693-6097
Practice Address - Street 1:1044 LACEY RD
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:FORKED RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08731-1051
Practice Address - Country:US
Practice Address - Phone:609-693-6090
Practice Address - Fax:609-693-6097
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI018818122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist