Swain, Tiky Kytasha

Swain, Tiky Kytasha is an individual health care provider with primary practice located at 8420 University Exec Park Dr Suite 805, Charlotte NC 28262-1344. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Swain, Tiky Kytasha can be contacted via phone (704) 594-9250.

Contact Information

Primary practice address
8420 University Exec Park Dr Suite 805 Charlotte NC 28262-1344
Phone: (704) 594-9250
Fax: (704) 594-9410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 8225 North Carolina
Dental Providers / General Practice 1223G0001X 8225 North Carolina

Profile Details

NPI number 1013065796
LBN Legal business name Swain, Tiky Kytasha
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jul 23rd, 2008 - about 16 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 1013065796 NPPES
North Carolina MEDICAID 5904063

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