Swinford C Wilson DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9271 Issued in TX

Legal business name

SWINFORD C WILSON DDS INC

Practice address

104 Professional Park Dr
Victoria, TX 77904-2351

Phone

(361) 573-3841

Fax

(361) 573-1930

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Swinford Clair Wilson, DDS

Title

President

Phone

(361) 573-3841

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jae-Hyuck Kwak, DDS

  • General Practice Dentistry
  • Victoria, TX
  • NPI 1982875118
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871634329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PROFESSIONAL PARK DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042351",
            "telephone_number": "361-573-3841",
            "fax_number": "361-573-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PROFESSIONAL PARK DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042351",
            "telephone_number": "361-573-3841",
            "fax_number": "361-573-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWINFORD C WILSON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SWINFORD",
        "authorized_official_middle_name": "CLAIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-573-3841",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "9271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Dee Surber
• Kori Sury, SLP
• Indrani Dorai Swami, M.D.
• John Harry Swannack, D.D.S.
• Marilyn Joyce Swannack, LPC
• Taha Syed
• Collin Ford Talhelm, MD
• Erica Barfield Talley, LMSW
• Patricia Anne Tally, LCSW
• Jonathan H Tan, O.D.

• General Practice Dentistry in Victoria, TX
• Providers in Victoria, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.