Basic Information
Provider Information
NPI: 1255717062
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHWARTZ-HINDS
FirstName: ANDREW
MiddleName: M
NamePrefix: DR.
NameSuffix:  
Credential: D.M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2400 COMPUTER DR
Address2:  
City: WESTBOROUGH
State: MA
PostalCode: 015811770
CountryCode: US
TelephoneNumber: 5083292250
FaxNumber:  
Practice Location
Address1: 2400 COMPUTER DR
Address2:  
City: WESTBOROUGH
State: MA
PostalCode: 015811770
CountryCode: US
TelephoneNumber: 5083292250
FaxNumber: 5083292255
Other Information
ProviderEnumerationDate: 08/04/2015
LastUpdateDate: 12/11/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1223G0001XDN1856914MAY Dental ProvidersDentistGeneral Practice

No ID Information.


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