Provider Demographics
NPI:1255624698
Name:SCHWARTZ, DANIEL M (DMD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:M
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 1:23250 CHAGRIN BLVD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5470
Mailing Address - Country:US
Mailing Address - Phone:216-464-1200
Mailing Address - Fax:216-765-1772
Practice Address - Street 1:23250 CHAGRIN BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122
Practice Address - Country:US
Practice Address - Phone:216-464-1200
Practice Address - Fax:216-765-1772
Is Sole Proprietor?:No
Enumeration Date:2011-05-18
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0238501223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery