Swartwood, Randal Philip
Swartwood, Randal Philip is an individual health care provider with primary practice located at 4834 W Seneca Tpke , Syracuse NY 13215-2249. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Swartwood, Randal Philip can be contacted via phone (315) 469-7722.Contact Information
Primary practice address
4834 W Seneca Tpke
Syracuse NY 13215-2249
Phone: (315) 469-7722
Fax: (315) 469-7723
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 041347 | New York |
Profile Details
| NPI number | 1699720698 |
|---|---|
| LBN Legal business name | Swartwood, Randal Philip |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699720698 | NPPES |
| New York | MEDICAID | 02132323 |
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