Michelle E Swift, D.D.S.
Individual provider Active NPI General Practice Dentistry · Lafayette, LA
NPI 1497067680 · NPPES record last updated Jul 5, 2010
Key facts
- NPI
- 1497067680
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 6056 (LA)
- Practice address
- 4702 Johnston St Ste D
Lafayette, LA 70503-4501 - Phone
- (337) 984-3408
- NPI assigned
- Jul 5, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 15, 2016 through Apr 15, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6056 | LA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana Dental Group, Inc, | General Practice | Past | Accepting new patients |
| Theriot Family Dental Care | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6056 | LA | Yes |
Addresses
Primary practice location
4702 Johnston St Ste D
Lafayette, LA 70503-4501
Mailing address
3308 Country Club Dr
Lake Charles, LA 70605-5969
Phone (337) 477-7072
Other providers in Lafayette, LA
- Kevin Roy Swan
- Kirtland Dana Swan
- Victoria Cooper Swanson
- Rohina Swaroop
- Swift Care Transport LLC
- Christina L. Swilley
- Loren Swilley
- Swla Center for Health Services
- Swla Center for Health Services
- Swla Center for Health Services
All providers in Lafayette, LA · General Practice Dentistry in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.