SWAN ORAL & FACIAL SURGERY LLC NPI 1073143731

NPI Information

  • NPI: 1073143731
  • Provider Name: SWAN ORAL & FACIAL SURGERY, LLC
  • Classification: Clinic/Center - 261QS0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 407 S KENTUCKY AVE
    LAKELAND, FL
    ZIP 33801
  • Phone: (863) 688-1537

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NPI Details

SWAN ORAL & FACIAL SURGERY, LLC is an oral and maxillofacial surgery clinic center in Lakeland, FL. The provider is an oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. SWAN ORAL & FACIAL SURGERY, LLC NPI is 1073143731. The provider is registered as an organization entity type.

The provider's business location address is:

407 S KENTUCKY AVE
LAKELAND, FL
ZIP 33801-301
Phone: (863) 688-1537
Fax: (863) 687-3418

The provider's authorized official is Rushi Patel .
The authorized official title is Owner and has the following contact phone number (863) 688-1537.

The enumeration date for this NPI number is 1/22/2020 and was last updated on 1/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS0112XClinic/CenterOral and Maxillofacial SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DN17708OTHERFLORIDASTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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