Larry Dean Swanson in Wahoo - General Practice

Larry Dean Swanson - NPI 1235205238

Larry Dean Swanson is a General Practice in Wahoo, Nebraska. Larry Dean Swanson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Larry Dean Swanson is 1235205238. The last update date is 2007-07-08.

Larry Dean Swanson's current location address is 427 North Broadway Street, Wahoo, Nebraska. You can contact this provider via phone number 4024434989 and fax number 4024431240. The mailing address for Larry Dean Swanson is 427 North Broadway Street, Wahoo, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Name Larry Dean Swanson
Address 427 North Broadway Street, Wahoo, Nebraska
Phone Number 4024434989
Fax Number 4024431240
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1235205238
Provider Enumeration Date 2006-11-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 427 North Broadway Street
City Wahoo
State Nebraska (NE)
Post Code 68066
Phone Number 4024434989
Fax Number 4024431240

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 5165
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
47069066500 NE --
5662 NE BLUE CROSS BLUE SHIELD

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FAQs about Larry Dean Swanson

What is the unique 10-digit identifier code issued to Larry Dean Swanson by the Centers for Medicare & Medicaid Services?

The Larry Dean Swanson has been assigned the NPI (National Provider Identifier) 1235205238 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Larry Dean Swanson located?

The Larry Dean Swanson is located at 427 North Broadway Street, Wahoo, NE 68066.

What is Larry Dean Swanson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Larry Dean Swanson is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date did the Larry Dean Swanson receive the assignment of its 1235205238 from the Centers for Medicare & Medicaid Services?

The Larry Dean Swanson was issued its 1235205238 by the Centers for Medicare & Medicaid Services on 2006-11-28.

When was the information regarding Larry Dean Swanson most recently updated?

The details pertaining to the Larry Dean Swanson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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