Swanson and Associates Family Dentistry, Inc.
Organization Active NPI General Practice Dentistry · Slinger, WI
NPI 1407923915 · NPPES record last updated Jun 17, 2016
Key facts
- NPI
- 1407923915
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 6881-15 (WI)
- Legal business name
- SWANSON AND ASSOCIATES FAMILY DENTISTRY, INC.
- Practice address
- 410 E. Washington St.
Slinger, WI 53086 - Phone
- (262) 644-6951
- Fax
- (262) 644-6825
- NPI assigned
- Nov 29, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- SWANSON AND ASSOCIATES FAMILY DENTISTRY, INC.
Authorized official
- Name
- Dr. Brian Christopher Swanson, D.D.S.
- Title
- Dentist/Owner
- Phone
- (262) 644-6951
Practitioners 5
-
Sarah Kennedy Fodor, DDS
-
Timothy E Hartley, DDS
-
Chad Richard Strupp, DMD
-
Brian C Swanson, D.D.S.
-
Daniel Wayne Banks, DDS
National Provider Directory
- Part of
- Swanson and Associates Family Dentistry Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 3137 | WI | |
| General Practice Dentistry |
1223G0001X | 6881-15 | WI | Yes |
Addresses
Primary practice location
410 E. Washington St.
Slinger, WI 53086
Mailing address
P.O. Box 379
410 E. Washington St.
Slinger, WI 53086
Phone (262) 644-6951
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38395700 | Other | WI | MEDICAID GROUP PROVIDER |
| 3137 | Other | WI | DELTA |
| 33451600 | Medicaid | WI |
Other providers in Slinger, WI
- Slinger School District
- Anne M Sommer
- Samantha Stroeh
- Chad Richard Strupp
- Swanson & Strupp Family Dentistry, LLC
- Brian C Swanson
- Thi of Wisconsin at Hartford, LLC
- Kevin Matthew Turpel
- Uniquely You Orthodontics
- Andrew James Velic
All providers in Slinger, WI · General Practice Dentistry in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.