Jonathan James Swope, DMD,MD
Individual provider Active NPI Oral and Maxillofacial Surgery (Dentist) · Jeffersonville, IN
NPI 1831464148 · NPPES record last updated Jun 23, 2022
Key facts
- NPI
- 1831464148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- 10055 (KY)
- Practice address
- 1316 Duncan Ave
Jeffersonville, IN 47130-3723 - Phone
- (812) 282-8467
- NPI assigned
- Mar 20, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12012993A | IN | MD | Oral and Maxillofacial Surgery (Dentist) |
| 10055 | KY | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S. Indiana Oral Surgery, P.C. | Oral and Maxillofacial Surgery | Current |
Accepting new patients |
| David F Butler, DDS | Oral and Maxillofacial Surgery | Past |
Accepting new patients |
| S.E. Louisville Oral Surgery, P.C. | Oral and Maxillofacial Surgery | Past |
Accepting new patients |
Locations
1316 Duncan Ave
Jeffersonville, IN 47130
Phone (812) 282-8467
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 12012993A | IN | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 12012993A | IN | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 10055 | KY | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 10055 | KY | Yes |
Addresses
Primary practice location
1316 Duncan Ave
Jeffersonville, IN 47130-3723
Mailing address
1316 Duncan Ave
Jeffersonville, IN 47130-3723
Phone (812) 282-8467
Other practice location 1
8516 Preston Hwy
Louisville, KY 40219-5302
Phone (502) 969-2523
Other providers in Jeffersonville, IN
- Holly Christina Swartz Montini
- Lindsay M Swearingen
- Anthony Sweet
- Stephan J Sweitzer
- Amber Swick
- Chicqutar Symonette
- Sylvia Joanna Tackett
- Nadiyah Tait
- Lily Tamplin
- Ryan Lee Tarr
All providers in Jeffersonville, IN · Oral and Maxillofacial Surgery (Dentist) in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.