Organization
THEODORE S. SCHWARTZ D.D.S,M.S.D.,P.A.
Active
Organization
THEODORE S. SCHWARTZ D.D.S,M.S.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE SEGAL SCHWARTZ D.D.S.,M.S.D. (PRESIDENT)
(954) 473-6900
Entity
Organization
Contact information
Practice address
815 S UNIVERSITY DR, SUITE 100, PLANTATION, FL 33324-3312
(954) 473-6900
(954) 724-9406
Mailing address
815 S UNIVERSITY DR, SUITE 100, PLANTATION, FL 33324-3312
(954) 473-6900
(954) 724-9406
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN5061
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
771177
UNITED CONCORDIA
FL
Enumeration date
06/24/2006
Last updated
09/17/2008
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