Eric Swenson Dental Incorporated

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ERIC SWENSON DENTAL INCORPORATED

Practice address

903 W Center St Ste 5
Manteca, CA 95337-7315

Phone

(209) 824-0214

NPI assigned

Dec 29, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Eric Swenson, DDSNPI 1619540267

Title

Ceo

Phone

(209) 556-3087

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Eric Swenson, DDS

  • Dentist
  • Manteca, CA
  • NPI 1619540267
  NPD Authorized official
• Wilner Clifford Cacho, DDS

  • General Practice Dentistry
  • Manteca, CA
  • NPI 1225143829
  NPD (past)
• Matthew Kim, DDS

  • General Practice Dentistry
  • Lodi, CA
  • NPI 1184399529
  NPD (past)

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1891564993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 W CENTER ST STE 5",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953377315",
            "telephone_number": "209-824-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 W CENTER ST STE 5",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953377315",
            "telephone_number": "209-824-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC SWENSON DENTAL INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "SWENSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-556-3087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Paul Emmett, PA-C
• Mariah Enebrad
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• Diana F. Enrile, MD
• Michael Erdman, D.C.
• Melissa J Estrada-Ruiz
• Bonhoeffer Estrella, PT
• Eugene V. Nguyen, M.D., Inc
• Everypath LLC
• Excel Kidney Care Inc a Professional Medical Corporation

• Dental Clinic/Center in Manteca, CA
• Providers in Manteca, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.