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DRS SWANN & TALLENT PA NPI 1285672717


NPI Information

NPI: 1285672717
Provider Name: DRS SWANN & TALLENT, PA

Other Name: SOUTHEAST ORAL & MAXILLOFACIAL SURGERY ASSOCIATES

Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
3111 SPRINGBANK LANE
SUITE A
CHARLOTTE, NC
ZIP 28226
Phone: (704) 541-3603
Get Directions

DRS SWANN & TALLENT, PA is an oral maxillofacial surgery in Charlotte, NC. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DRS SWANN & TALLENT, PA NPI is 1285672717. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Southeast Oral & Maxillofacial Surgery Associates.

The provider's business location address is:

3111 SPRINGBANK LANE
SUITE A
CHARLOTTE, NC
ZIP 28226
Phone: (704) 541-3603
Fax: (704) 541-3619

The provider's authorized official is Robert Dennis Swann .
The authorized official title is Doctor and has the following contact phone number (704) 541-3603.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 9/6/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryNo
2204E00000XOral & Maxillofacial Surgery5881NORTH CAROLINANo
3204E00000XOral & Maxillofacial Surgery5962NORTH CAROLINANo
4204E00000XOral & Maxillofacial Surgery9535NORTH CAROLINANo
5204E00000XOral & Maxillofacial Surgery3793NORTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10607286OTHERAETNA
201083OTHERBCBS
38901083MEDICAIDNORTH CAROLINA

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: 4/28/2024

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