Provider Demographics
NPI:1316116999
Name:BRUCE SCHWARTZ, D.D.S., M.S. P.C.
Entity type:Organization
Organization Name:BRUCE SCHWARTZ, D.D.S., M.S. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:1413-774-5219
Mailing Address - Street 1:7 ADAMS RD
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-1301
Mailing Address - Country:US
Mailing Address - Phone:413-774-5219
Mailing Address - Fax:413-772-2550
Practice Address - Street 1:7 ADAMS RD
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-1301
Practice Address - Country:US
Practice Address - Phone:413-774-5219
Practice Address - Fax:413-772-2550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA153721223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty