Tom D Swanson Dds, Inc | |
1985 E Main Rd Portsmouth RI 02871-1225 | |
(401) 683-0112 | |
(401) 683-2171 |
Full Name | Tom D Swanson Dds, Inc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 1985 E Main Rd, Portsmouth, Rhode Island |
Authorized Official Name and Position | Tom Duane Swanson (PRESIDENT) |
Authorized Official Contact | 4016830112 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tom D Swanson Dds, Inc Po Box 382 Portsmouth RI 02871-1225 Ph: (401) 683-0112 | Tom D Swanson Dds, Inc 1985 E Main Rd Portsmouth RI 02871-1225 Ph: (401) 683-0112 |
NPI Number | 1467579003 |
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Provider Enumeration Date | 03/26/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467579003 | NPI | - | NPPES |
TS00046 | Medicaid | RI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 1956 (Rhode Island) | Primary |
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