MEDICARE: DR. MICOLE NEIMAN SCHWARTZ D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	25419	TX

General Provider Information

NPI Number	:	1083928360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICOLE NEIMAN SCHWARTZ D.D.S.

Provider Business Mailing Address
First Line	:	4317 CEDAR SPRINGS RD APT A
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75219-6634
Country	:	US
Telephone Number	:	214-252-9059
Fax Number	:

Provider Business Practice Location Address
First Line	:	3405 LONG PRAIRIE RD
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-2737
Country	:	US
Telephone Number	:	972-350-8120
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2010
Last Update Date	:	07/29/2010

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Directions to “ DR. MICOLE NEIMAN SCHWARTZ D.D.S.” Practice Location

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