Swan Pediatric Dental

NPI #1841763513 in Salem, Utah

Provider Information

NPI Number: 1841763513
Entity Type: Organization
Organization Name: Swan Pediatric Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 6, 2019
Last Updated: Jan 6, 2019

Practice Location

Address: 601 N STATE ROAD 198
City: Salem
State: Utah
ZIP Code: 84653-4504
Phone: (801) 423-7969

Authorized Official

Name: DR. MATTHEW ALLEN SWAN, DDS
Title: OWNER
Phone: (801) 718-8348

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Dentist - General Practice — General Practice	1223G0001X	Primary

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