Swan Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SWAN DENTAL CORP

Practice address

1350 SW 160TH Ave
Sunrise, FL 33326-1908

Phone

(732) 910-7949

NPI assigned

Aug 27, 2021

Organization subpart

No

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

Authorized official

Name

Pratik PatelNPI 1922591619

Title

Owner Dentist

Phone

(732) 910-7949

Specialties & licenses 1

Addresses

Other names 1

• Weston Dental Family Center Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pratik S Patel, DMD

  • Dentist
  • Sunrise, FL
  • NPI 1922591619
  NPD Authorized official

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1649947524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 SW 160TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333261908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 SW 160TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333261908",
            "telephone_number": "732-910-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAN DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRATIK",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "732-910-7949"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.westonfamilydentalflorida.com",
            "affiliation": "N",
            "address_1": "1350 SW 160th Ave",
            "city": "Sunrise",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333261908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Weston Dental Family Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Suris
• Cathy Ann Susskind, M.A.CCC-SLP
• Marcia D Sutton, MSW
• Pamela Sutula, RN BSN CCM
• Suzanne E Green PHD PA
• Renae Sweeney
• Rolando G. Sy, CRNA
• Denise Sydnor, PH.D.
• T Boland Arnp LMFT PHDC Inc
• Analyn Paquit Tabaniag, OTR

• Dentist in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.