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General NPI Number Information
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NPI Number | 1205720117
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Entity Type | Organization
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Legal Business Name | S. C. SCHWARTZ, D.D.S., PLLC
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 221 N WELLWOOD AVE
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City | LINDENHURST
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State | NY
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Zip | 11757-3706
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Country | US
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Telephone | 631-225-8000
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Fax | 631-225-7077
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Provider Business Mailing Address
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Address Line | 1476 DEER PARK AVE STE 1
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City | NORTH BABYLON
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State | NY
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Zip | 11703-1200
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SCOTT C SCHWARTZ
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Credential | DDS
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Telephone | 516-551-0409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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