MEDICARE: COMFORT FAMILY DENTAL PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	305S00000X	Point of Service	LC1424	MI

General Provider Information

NPI Number	:	1548278724
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORT FAMILY DENTAL PLLC

Provider Business Mailing Address
First Line	:	25529 VAN DYKE AVE
Second Line	:
City	:	CENTER LINE
State	:	MI
Zip	:	48015-1848
Country	:	US
Telephone Number	:	586-757-3373
Fax Number	:

Provider Business Practice Location Address
First Line	:	25529 VAN DYKE AVE
Second Line	:
City	:	CENTER LINE
State	:	MI
Zip	:	48015-1848
Country	:	US
Telephone Number	:	586-757-3373
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RICHARD SCHWARCZ
Credential	:	D.D.S.
Telephone Number	:	586-757-3373

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	04/28/2011

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