| Loren C. Swanson, D.d.s., S.c. | |
|
2215 Oregon St Oshkosh WI 54902-7060 | |
| (920) 231-8120 | |
| (920) 231-8296 |
| Full Name | Loren C. Swanson, D.d.s., S.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2215 Oregon St, Oshkosh, Wisconsin |
| Authorized Official Name and Position | Loren Charles Swanson (PRESIDENT) |
| Authorized Official Contact | 9202318120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loren C. Swanson, D.d.s., S.c. 2215 Oregon St Oshkosh WI 54902-7060 Ph: (920) 231-8120 | Loren C. Swanson, D.d.s., S.c. 2215 Oregon St Oshkosh WI 54902-7060 Ph: (920) 231-8120 |
| NPI Number | 1437285566 |
|---|---|
| Provider Enumeration Date | 02/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437285566 | NPI | - | NPPES |
| 33614900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5001301015 (Wisconsin) | Primary |
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