Southeast Oral & Maxillofacial Surgery Associates
LBN: Drs Swann & Tallent, Pa
Southeast Oral & Maxillofacial Surgery Associates is an health care organization with primary practice located at 3111 Springbank Lane Suite A, Charlotte NC 28226. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is the primary health care specialty.
Drs Swann & Tallent, Pa can be contacted via phone (704) 541-3603, or through Swann, Robert Dennis via phone (704) 541-3603.
Contact Information
Primary practice address
3111 Springbank Lane Suite A
Charlotte NC 28226
Phone: (704) 541-3603
Fax: (704) 541-3619
Website:
Authorized official contact:
Name: Swann, Robert Dennis Doctor of Dental Medicine (DMD)
Phone: (704) 541-3603
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | ||
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 3793 | North Carolina |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 5881 | North Carolina |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 5962 | North Carolina |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 9535 | North Carolina |
Profile Details
| NPI number | 1285672717 |
|---|---|
| LBN Legal business name | Drs Swann & Tallent, Pa |
| DBA Doing business as | Southeast Oral & Maxillofacial Surgery Associates |
| Authorized official | Swann, Robert Dennis Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Sep 6th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285672717 | NPPES |
| Other | 0607286 | AETNA | |
| Other | 01083 | AETNA | |
| MEDICAID | 8901083 | AETNA |
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