Clifford J Swanson DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019018072 Issued in IL

Legal business name

CLIFFORD J SWANSON DDS PC

Practice address

2215 W Schaumburg Rd
Schaumburg, IL 60194-3891

Phone

(847) 352-5410

Fax

(847) 352-1809

NPI assigned

Nov 16, 2006

Last updated

Jan 27, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Clifford J Swanson, D.D.S.

Title

Owner

Phone

(847) 884-8876

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1376616607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 HOLLI CT",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601944274",
            "telephone_number": "847-884-8876",
            "fax_number": "847-884-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 W SCHAUMBURG RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943891",
            "telephone_number": "847-352-5410",
            "fax_number": "847-352-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFORD J SWANSON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-884-8876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019018072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clear Path Healthcare Services, Inc (Visions Hospice)
• Clearbrook
• Clearbrook
• Clearbrook
• Ronald Joseph Clemente, DPM
• Mary Cloonan Walsh
• Fredrick Cobb
• Louise Ann Cohen, MSW,LCSW
• Elizabeth Shulkin Cohn, D.D.S
• Lori Colleen Colbert, COTA

• General Practice Dentistry in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.