MEDICARE: DR. ANN ELIZABETH SCHWAB-DAVIS 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	1223G0001X	General Practice Dentistry	0454671	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4001415	OTHER	NY	INDEPENDENT HEALTH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851436331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANN ELIZABETH SCHWAB-DAVIS DDS

Provider Business Mailing Address
First Line	:	5945 GOODRICH RD
Second Line	:	P.O.BOX 53
City	:	CLARENCE CENTER
State	:	NY
Zip	:	14032-9710
Country	:	US
Telephone Number	:	716-741-2835
Fax Number	:	716-741-8154

Provider Business Practice Location Address
First Line	:	5945 GOODRICH RD
Second Line	:
City	:	CLARENCE CENTER
State	:	NY
Zip	:	14032-9710
Country	:	US
Telephone Number	:	716-741-2835
Fax Number	:	716-741-8154

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

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	07/08/2007

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