Swan Dental, SC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SWAN DENTAL, SC

Practice address

2669 N Swan Blvd
Milwaukee, WI 53226-1800

Phone

(414) 258-2216

Fax

(414) 258-9466

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Steven Robert Schnoll, DDS

Title

Owner

Phone

(414) 258-2216

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Steven R. Schnoll, DDS, SC Former legal business name

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1952413544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2669 N SWAN BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261800",
            "telephone_number": "414-258-2216",
            "fax_number": "414-258-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2669 N SWAN BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261800",
            "telephone_number": "414-258-2216",
            "fax_number": "414-258-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAN DENTAL, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "SCHNOLL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-258-2216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38388000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steven R. Schnoll, DDS, SC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• David Henry Sved, DPM
• Emily V Svejnoha, PA
• Swaddled in Love Prenatal Care LLC
• Mary C Swahn, NP
• Geoffrey R. Swain, M.D.
• Erica Swan
• Michael Swank, MD
• Karen L Swanson-Daigle, M.S.
• Amy Swanson, M.S., C.G.C.
• Calvin Michael Swanson, DO

• Dentist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.