Provider Demographics
NPI:1992297550
Name:SCHWARZ, BRIANNE LOUISE (DDS)
Entity type:Individual
Prefix:DR
First Name:BRIANNE
Middle Name:LOUISE
Last Name:SCHWARZ
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 1:1260 PLAINVIEW RD
Mailing Address - Street 2:
Mailing Address - City:PLAIN
Mailing Address - State:WI
Mailing Address - Zip Code:53577-9790
Mailing Address - Country:US
Mailing Address - Phone:608-546-4441
Mailing Address - Fax:
Practice Address - Street 1:1260 PLAINVIEW RD
Practice Address - Street 2:
Practice Address - City:PLAIN
Practice Address - State:WI
Practice Address - Zip Code:53577
Practice Address - Country:US
Practice Address - Phone:608-546-4441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-30
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1001822-15122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist