Provider Demographics
NPI:1871139105
Name:JOEL SCHWITZER DMD PC
Entity type:Organization
Organization Name:JOEL SCHWITZER DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWITZER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:516-680-1387
Mailing Address - Street 1:8639 WOODHAVEN BLVD
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:NY
Mailing Address - Zip Code:11421-1438
Mailing Address - Country:US
Mailing Address - Phone:718-845-7772
Mailing Address - Fax:718-845-7773
Practice Address - Street 1:8639 WOODHAVEN BLVD
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:NY
Practice Address - Zip Code:11421-1438
Practice Address - Country:US
Practice Address - Phone:718-845-7772
Practice Address - Fax:718-845-7773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-21
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty