Theodore Swerdlick, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

MA11250 Issued in MA

Practice address

389 Harvard St
Brookline, MA 02446

Phone

(617) 738-1200

NPI assigned

Dec 13, 2006

Sex

Male

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

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699836437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 HARVARD ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02446",
            "telephone_number": "617-738-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 HARVARD ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02446",
            "telephone_number": "617-738-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWERDLICK",
        "first_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "MA11250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Sweeney, LIC. AC.
• Elise Alsop Sweet, LICSW
• Holly Barlow Sweet, PHD
• Stephen E Sweet, M.D., F.A.C.C.
• Amy Ann Sweigenberg, PSYD
• Kira Synodis, DPT
• Nathalie Tabibzadeh, MD
• Senait Teklehaymanot Tadesse, MSW
• Tala Taheri, PSYD
• Leslie Talmadge

• General Practice Dentistry in Brookline, MA
• Providers in Brookline, MA by specialty
• General Practice Dentistry in Massachusetts

• 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.