| Mark L Glyman Md Dds & Eric D Swanson Md Dmd Ltd | |
|
825 N Gibson Rd Ste 441 Henderson NV 89011-1708 | |
| (702) 892-0833 | |
| (702) 892-0906 |
| Full Name | Mark L Glyman Md Dds & Eric D Swanson Md Dmd Ltd |
|---|---|
| Speciality | Oral & Maxillofacial Surgery |
| Location | 825 N Gibson Rd Ste 441, Henderson, Nevada |
| Authorized Official Name and Position | Brenda Gabler (OFFICE MANAGER) |
| Authorized Official Contact | 7028920833 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark L Glyman Md Dds & Eric D Swanson Md Dmd Ltd 825 N Gibson Rd Ste 441 Henderson NV 89011-1708 Ph: (702) 892-0833 | Mark L Glyman Md Dds & Eric D Swanson Md Dmd Ltd 825 N Gibson Rd Ste 441 Henderson NV 89011-1708 Ph: (702) 892-0833 |
| NPI Number | 1053595579 |
|---|---|
| Provider Enumeration Date | 12/19/2007 |
| Last Update Date | 01/23/2023 |
| Medicare PECOS PAC ID | 9133273410 |
|---|---|
| Medicare Enrollment ID | O20090820000722 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053595579 | NPI | - | NPPES |
| Provider Name | Mark L Glyman |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1518059617 PECOS PAC ID: 7911041249 Enrollment ID: I20100224000351 |
| Provider Name | Eric D Swanson |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1780776781 PECOS PAC ID: 5193869428 Enrollment ID: I20100224000384 |
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