MEDICARE: DR. MATTHEW SCHWED 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	1223P0221X	Pediatric Dentistry	DN21017	FL
2	1223P0221X	Pediatric Dentistry	31751	TX

General Provider Information

NPI Number	:	1154738870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW SCHWED D.D.S.

Provider Business Mailing Address
First Line	:	2006 W CAMPBELL RD STE 300
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75044-2315
Country	:	US
Telephone Number	:	972-210-0688
Fax Number	:	972-210-0611

Provider Business Practice Location Address
First Line	:	2006 W CAMPBELL RD STE 300
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75044-2315
Country	:	US
Telephone Number	:	972-210-0688
Fax Number	:	972-210-0611

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

Provider Enumeration Date	:	07/15/2014
Last Update Date	:	10/27/2023

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