| James C. Swanson, Pc D. D. S., Pc | |
|
1001 S Pueblo Blvd Pueblo CO 81005-1682 | |
| (719) 564-0990 | |
| (719) 564-6817 |
| Full Name | James C. Swanson, Pc D. D. S., Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1001 S Pueblo Blvd, Pueblo, Colorado |
| Authorized Official Name and Position | James Charles Swanson (OWNER) |
| Authorized Official Contact | 7195640990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James C. Swanson, Pc D. D. S., Pc 1001 S Pueblo Blvd Pueblo CO 81005-1682 Ph: (719) 564-0990 | James C. Swanson, Pc D. D. S., Pc 1001 S Pueblo Blvd Pueblo CO 81005-1682 Ph: (719) 564-0990 |
| NPI Number | 1982899712 |
|---|---|
| Provider Enumeration Date | 09/14/2007 |
| Last Update Date | 10/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982899712 | NPI | - | NPPES |
| 01734237 | Other | CO | JENNIFER KATTENSTELTE |
| 02073807 | Other | CO | JAMIE JOHNSON |
| 81971842 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3700 (Colorado) | Primary |
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