NPIMap

Organization Active NPI

DRS Swann & Tallent, PA

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Charlotte, NC
National Provider Identifier
1285672717
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
3793 Issued in NC
Legal business name
DRS SWANN & TALLENT, PA
Practice address
3111 Springbank Lane
Suite a
Charlotte, NC 28226
Phone
(704) 541-3603
Fax
(704) 541-3619
NPI assigned
Jun 4, 2006
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Dr. Robert Dennis Swann, DMDNPI 1831142660
Title
Doctor
Phone
(704) 541-3603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 5881 NC
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 5962 NC
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 9535 NC
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 3793 NC Primary

Addresses

Primary practice location

3111 Springbank Lane
Suite a
Charlotte, NC 28226

Mailing address

3111 Springbank Lane
Suite a
Charlotte, NC 28226
Phone (704) 541-3603

Other identifiers 3

IdentifierTypeStateIssuer
01083OtherBCBS
8901083MedicaidNC
0607286OtherAETNA

Other names 1

  • Southeast Oral & Maxillofacial Surgery Associates Other name

National Provider Directory

National Provider Directory

Locations

1003 N 6th St
Albemarle, NC 28001
Phone (704) 983-2502

3111 Springbank Ln
Ste A
Charlotte, NC 28226
Phone (704) 541-3603

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1285672717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 SPRINGBANK LANE",
            "address_2": "SUITE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28226",
            "telephone_number": "704-541-3603",
            "fax_number": "704-541-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 SPRINGBANK LANE",
            "address_2": "SUITE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28226",
            "telephone_number": "704-541-3603",
            "fax_number": "704-541-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS SWANN & TALLENT, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2023-09-06",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "SWANN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "704-541-3603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NC",
            "license": "5881",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NC",
            "license": "5962",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NC",
            "license": "9535",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NC",
            "license": "3793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01083",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901083",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0607286",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Oral & Maxillofacial Surgery Associates",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Southeast Oral & Maxillofacial Surgery Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.