Healthcare Provider Details

I. General information

NPI: 1912870247
Provider Name (Legal Business Name): S. C. SCHWARTZ, D.D.S., PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2025
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 S BUFFALO ST
SPRINGVILLE NY
14141-1239
US

IV. Provider business mailing address

22 S BUFFALO ST
SPRINGVILLE NY
14141-1239
US

V. Phone/Fax

Practice location:
  • Phone: 716-592-2277
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SCOTT C SCHWARTZ
Title or Position: PRESIDENT
Credential: DDS
Phone: 516-551-0409