Merle Ray Swartzentruber, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN122465 Issued in GA

Practice address

6783 Veterans Pkwy BLDG 4
Columbus, GA 31909-3254

Phone

(706) 321-3909

NPI assigned

Apr 10, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1618012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1710567177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3732 US HIGHWAY 431 N",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368672362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6783 VETERANS PKWY BLDG 4",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319093254",
            "telephone_number": "706-321-3909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3732 US Highway 431 N",
            "address_purpose": "LOCATION",
            "city": "Phenix City",
            "state": "AL",
            "postal_code": "368672362",
            "country_code": "US",
            "telephone_number": "334-408-3467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWARTZENTRUBER",
        "first_name": "MERLE",
        "middle_name": "RAY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-10",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "D-0006952-C1",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Sutherlen, BCABA
• Brenda G Sutley, OT
• Elizabeth Banowsky Swain
• Jada Swanson, NP
• Kimberly Williams Swanson, LMT
• Sweet Home Care of Georgia Inc (Acti-Kare Responsive in-Home Care)
• Sweetgums Dental LLC
• Danielle Swenson
• Mary Lou Swift, LPC
• Virginia Schorr Swinehart

• General Practice Dentistry in Columbus, GA
• Providers in Columbus, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.