Swain, Frederick Ray

Swain, Frederick Ray is an sole proprietor health care provider with primary practice located at 4010 Dupont Cir Ste 529, Louisville KY 40207-4888. He recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / General Practice. Dental Providers / Pediatric Dentistry is his primary health care specialty. Swain, Frederick Ray can be contacted via phone (502) 897-3239.

Contact Information

Primary practice address
4010 Dupont Cir Ste 529 Louisville KY 40207-4888
Phone: (502) 897-3239
Fax: (502) 897-3476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 4519 Kentucky
Dental Providers / General Practice 1223G0001X 4519 Kentucky

Profile Details

NPI number 1659374452
LBN Legal business name Swain, Frederick Ray
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2005
Last updated May 20th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659374452 NPPES
Indiana Other 100010800A MEDICAL ASSISTANCE
Indiana Other 60045192 MEDICAL ASSISTANCE
Indiana Other 4507 MEDICAL ASSISTANCE
Indiana Other 200448 MEDICAL ASSISTANCE

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