Swan Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN1855122 Issued in MA

Legal business name

SWAN DENTAL LLC

Practice address

111 Elm St Ste 101
Worcester, MA 01609-1967

Phone

(508) 799-4626

NPI assigned

Jun 19, 2017

Organization subpart

No

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

Authorized official

Name

Wenqi Li

Title

Dentist

Phone

(508) 799-4626

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1396275673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HARRINGTON AVE # A",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015455268",
            "telephone_number": "857-636-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ELM ST STE 101",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091967",
            "telephone_number": "508-799-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAN DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "WENQI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "508-799-4626"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN1855122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Svokos, MD
• Patrick T Svrcek, MD
• Akiro Swain
• Khrystyne Marie Swain, M.S., BCBA
• Emily Elizabeth Swalec, LICSW
• Amanda Swaney, OTR/L
• Michael Swaney
• Amanda Claire Swanson
• Susan M. Swanson, M.A.
• Kimberly Swanton

• Dental Clinic/Center in Worcester, MA
• Providers in Worcester, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.