Gene Williams Swain Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10406 Issued in MN

Practice address

104 2ND Ave SE
Waseca, MN 56093-3041

Phone

(507) 835-4280

NPI assigned

Oct 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568543189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 2ND AVE SE",
            "city": "WASECA",
            "state": "MN",
            "postal_code": "560933041",
            "telephone_number": "507-835-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 2ND AVE SE",
            "city": "WASECA",
            "state": "MN",
            "postal_code": "560933041",
            "telephone_number": "507-835-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAIN",
        "first_name": "GENE",
        "middle_name": "WILLIAMS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D10406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "156L9AN",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsi Sparks
• Matthew John Spreiter
• Clare Elizabeth Steffen, PHARM.D.
• Tiffany Stenzel, RN
• Stephanie Strandberg
• Ian Swanson, DC
• Katie Margaret Swanson, FNP-C
• Michelle Elizabeth Ruth Swanson, DACCHM, L.AC.
• Team Academy
• Anita Mae Thompson

• General Practice Dentistry in Waseca, MN
• Providers in Waseca, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.