Healthcare Provider Details

I. General information

NPI: 1861456949
Provider Name (Legal Business Name): MARTIN THOMAS SCHWARTZ DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 NORTH RD
CHELMSFORD MA
01824-2718
US

IV. Provider business mailing address

18 NORTH RD
CHELMSFORD MA
01824-2718
US

V. Phone/Fax

Practice location:
  • Phone: 978-256-3171
  • Fax: 978-244-0497
Mailing address:
  • Phone: 978-256-3171
  • Fax: 978-244-0497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number9950
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: