Swanson, Eric D

Swanson, Eric D is an individual health care provider with primary practice located at 2030 E Flamingo Rd 288, Las Vegas NV 89119-0818. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Swanson, Eric D can be contacted via phone (702) 892-0833.

Contact Information

Primary practice address
2030 E Flamingo Rd 288 Las Vegas NV 89119-0818
Phone: (702) 892-0833
Fax: (702) 892-0906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 9150 Nevada
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 9150 Nevada

Profile Details

NPI number 1780776781
LBN Legal business name Swanson, Eric D
Credentials M.D.,D.M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Feb 23rd, 2010 - about 15 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 1780776781 NPPES
Nevada MEDICAID 20-18240

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