Provider Demographics
NPI:1801676028
Name:SCHWARTZ, JOAN (DDS)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12113 SOMERSWORTH DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-1562
Mailing Address - Country:US
Mailing Address - Phone:404-510-6114
Mailing Address - Fax:
Practice Address - Street 1:8121 GEORGIA AVE STE 400
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4958
Practice Address - Country:US
Practice Address - Phone:203-431-4344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-04
Last Update Date:2025-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18230122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist