Provider Demographics
NPI:1831542349
Name:SCHWARTZ, JOSEF
Entity type:Individual
Prefix:DR
First Name:JOSEF
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:623 E MILL ST
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:WI
Mailing Address - Zip Code:53073-1944
Mailing Address - Country:US
Mailing Address - Phone:920-893-5949
Mailing Address - Fax:
Practice Address - Street 1:623 E MILL ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:WI
Practice Address - Zip Code:53073-1944
Practice Address - Country:US
Practice Address - Phone:920-893-5949
Practice Address - Fax:920-893-5940
Is Sole Proprietor?:No
Enumeration Date:2016-07-20
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10016741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice