Provider Demographics
NPI:1134334485
Name:SCHWARTZ, ADAM (ADAM SCHWARTZ)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:ADAM SCHWARTZ
Other - Prefix:DR
Other - First Name:ADAM
Other - Middle Name:
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:5005 GREENWAY DR
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20816-2809
Mailing Address - Country:US
Mailing Address - Phone:301-229-7723
Mailing Address - Fax:
Practice Address - Street 1:4545 CONNECTICUT AVE NW STE 419
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-6021
Practice Address - Country:US
Practice Address - Phone:202-244-8848
Practice Address - Fax:202-363-2635
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN1000345122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist