| Swan Orthodontics | |
|
6677 Crossings Dr Se Suite #2 Grand Rapids MI 49508-7889 | |
| (616) 698-2323 | |
| (616) 871-9253 |
| Full Name | Swan Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6677 Crossings Dr Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Kathryn Anne Swan (PRESIDENT) |
| Authorized Official Contact | 6166982323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Swan Orthodontics 6677 Crossings Dr Se Suite #2 Grand Rapids MI 49508-7889 Ph: (616) 698-2323 | Swan Orthodontics 6677 Crossings Dr Se Suite #2 Grand Rapids MI 49508-7889 Ph: (616) 698-2323 |
| NPI Number | 1437307931 |
|---|---|
| Provider Enumeration Date | 09/09/2008 |
| Last Update Date | 11/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437307931 | NPI | - | NPPES |
| 1831209931 | Other | MI | NPI |
| 1164618344 | Other | MI | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 2901019044 (Michigan) | Primary |
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Karen A O Rourke Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4250 Kalamazoo Se Ste 1, Grand Rapids, MI 49508 Phone: 616-455-7930 Fax: 616-455-9952 | |
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