1013052273 NPI number — DR. JULIE CAROL SWIFT DDS, MS

Table of content: DR. JULIE CAROL SWIFT DDS, MS (NPI 1013052273)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013052273 NPI number — DR. JULIE CAROL SWIFT DDS, MS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SWIFT
Provider First Name:
JULIE
Provider Middle Name:
CAROL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS, MS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HORN
Provider Other First Name:
JULIE
Provider Other Middle Name:
CAROL
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1013052273
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
634 SW MULVANE ST
Provider Second Line Business Mailing Address:
SUITE 306
Provider Business Mailing Address City Name:
TOPEKA
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66606-1678
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
785-233-1756
Provider Business Mailing Address Fax Number:
785-233-1778

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
634 SW MULVANE ST
Provider Second Line Business Practice Location Address:
SUITE 306
Provider Business Practice Location Address City Name:
TOPEKA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66606-1678
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-233-1756
Provider Business Practice Location Address Fax Number:
785-233-1778
Provider Enumeration Date:
02/21/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223P0300X , with the licence number:  60256 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)