Healthcare Provider Details

I. General information

NPI: 1851436331
Provider Name (Legal Business Name): ANN ELIZABETH SCHWAB-DAVIS DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5945 GOODRICH RD
CLARENCE CENTER NY
14032-9710
US

IV. Provider business mailing address

5945 GOODRICH RD P.O.BOX 53
CLARENCE CENTER NY
14032-9710
US

V. Phone/Fax

Practice location:
  • Phone: 716-741-2835
  • Fax: 716-741-8154
Mailing address:
  • Phone: 716-741-2835
  • Fax: 716-741-8154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number0454671
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: