Provider Demographics
NPI:1447336607
Name:SCHWARTZ, DANIEL C (DDS)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:C
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:614 SICKLERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08094-1217
Mailing Address - Country:US
Mailing Address - Phone:856-728-9494
Mailing Address - Fax:856-728-0019
Practice Address - Street 1:614 SICKLERVILLE RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08094-1217
Practice Address - Country:US
Practice Address - Phone:856-728-9494
Practice Address - Fax:856-728-0019
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI0094321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ104467OtherUCCI ID #