Fort Vancouver Dental Centre

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FORT VANCOUVER DENTAL CENTRE

Practice address

718 NE 87TH Ave Ste 100
Vancouver, WA 98664-1970

Phone

(360) 256-2400

Fax

(360) 253-9123

NPI assigned

Jun 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David B Swan, D.D.S.NPI 1699884601

Title

Owner

Phone

(360) 256-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David B Swan, DDS

  • Dentist
  • Vancouver, WA
  • NPI 1699884601
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063616985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 NE 87TH AVE STE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641970",
            "telephone_number": "360-256-2400",
            "fax_number": "360-253-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 NE 87TH AVE STE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641970",
            "telephone_number": "360-256-2400",
            "fax_number": "360-253-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT VANCOUVER DENTAL CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-256-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5262209",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Ann Forsythe, MD
• Lauren Claire Forsythe
• Fort Vancouver Alf Operations, LLC
• Fort Vancouver Assisted Living, LLC
• Fort Vancouver Convalescent Center LLC
• Fort Vancouver Memory Care, LLC
• Fort Vancouver of Cascadia, LLC
• Fort Vancouver Post Acute, LLC
• Fortis Healthcare, Inc.
• Mackenzie Fortner, SUDPT

• General Practice Dentistry in Vancouver, WA
• Providers in Vancouver, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.