Swingdorf, Bradley Duane

Swingdorf, Bradley Duane is an individual health care provider with primary practice located at 6105 Cahill Avenue East , Inver Grove Heights MN 55076-1308. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Swingdorf, Bradley Duane can be contacted via phone (651) 451-9101.

Contact Information

Primary practice address
6105 Cahill Avenue East Inver Grove Heights MN 55076-1308
Phone: (651) 451-9101
Fax: (651) 451-9887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 8603 Minnesota

Profile Details

NPI number 1942282231
LBN Legal business name Swingdorf, Bradley Duane
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated May 14th, 2009 - 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 1942282231 NPPES
Minnesota Other 942018500 MEDICAL ASSISTANCE

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