Patricia Swanson

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

060021 Issued in NY

Practice address

Stony Brook School of Dental Medicine
Dental Care Center, Sullivan Hall
Stony Brook, NY 11794-8712

Phone

(631) 632-3709

Fax

(631) 362-3961

NPI assigned

May 11, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stony Brook Dental Associates

  • Pediatric Dentistry
  • Stony Brook, NY
  • NPI 1265602874
  NPD (past)

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1629456603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SULLIVAN HALL ROOM 170",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948712",
            "telephone_number": "631-632-8971",
            "fax_number": "631-362-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STONY BROOK SCHOOL OF DENTAL MEDICINE",
            "address_2": "DENTAL CARE CENTER, SULLIVAN HALL",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948712",
            "telephone_number": "631-632-3709",
            "fax_number": "631-362-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "060021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valmore Joseph Suprenant, M.D.
• Jack Suriano, PMHNP-BC
• Scott Evan Sussman, FNP-C
• SVC of East Setauket LLC (Sound Vision Care)
• Clarissa Ann Swan
• Luke Wendel Swaszek, MD
• Julia Ann Swierupski
• Marie Syku, MD
• Martin John Szafran, M.D.
• Murat Tabaru

• Prosthodontics in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Prosthodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.