Swanson, Riley R

Swanson, Riley R is an individual health care provider with primary practice located at 2090 Godby Rd , College Park GA 30349-5248. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is his primary health care specialty. Swanson, Riley R can be contacted via phone (770) 991-0212.

Contact Information

Primary practice address
2090 Godby Rd College Park GA 30349-5248
Phone: (770) 991-0212
Fax: (770) 997-4854
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN009207 Georgia
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN009207 Georgia

Profile Details

NPI number 1487700183
LBN Legal business name Swanson, Riley R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Feb 1st, 2013 - about 11 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 1487700183 NPPES
Georgia MEDICAID 00228632A1

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