Healthcare Provider Details

I. General information

NPI: 1902981426
Provider Name (Legal Business Name): ANDREW L SCHWARTZ DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 18TH ST NW #204
WASHINGTON DC
20036
US

IV. Provider business mailing address

1325 18TH ST NW #204
WASHINGTON DC
20036
US

V. Phone/Fax

Practice location:
  • Phone: 202-785-4746
  • Fax: 202-293-9515
Mailing address:
  • Phone: 202-785-4746
  • Fax: 202-293-9515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDEN1000352
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: