Provider Demographics
NPI:1285745455
Name:SWARTZ, MARTIN ALAN (DDS)
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:ALAN
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 ONEIDA LANE
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308
Mailing Address - Country:US
Mailing Address - Phone:954-783-0319
Mailing Address - Fax:954-783-0319
Practice Address - Street 1:2500 EAST HALLANDALE BEACH BOULEVARD
Practice Address - Street 2:SUITE 812
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009
Practice Address - Country:US
Practice Address - Phone:954-456-4411
Practice Address - Fax:954-456-4406
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8073122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist