MEDICARE: DR. JEFFREY G SCHWARTZ DDS

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	122300000X	Dentist	DN0011362	FL

General Provider Information

NPI Number	:	1548368996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY G SCHWARTZ DDS

Provider Business Mailing Address
First Line	:	4623 FOREST HILL BLVD
Second Line	:	SUITE 114
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-7469
Country	:	US
Telephone Number	:	561-965-7000
Fax Number	:	561-965-8117

Provider Business Practice Location Address
First Line	:	4623 FOREST HILL BLVD
Second Line	:	SUITE 114
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-7469
Country	:	US
Telephone Number	:	561-965-7000
Fax Number	:	561-965-8117

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	07/08/2007

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