DAVID C SWIDERSKI DDS MD NPI 1356320576

NPI Information

  • NPI: 1356320576
  • Provider Name: DAVID C SWIDERSKI, DDS, MD
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1565 LIBERTY ST SE
    SALEM, OR
    ZIP 97302
  • Phone: (503) 581-0223

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NPI Details

David C Swiderski, DDS, MD is an oral maxillofacial surgery in Salem, OR. 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. David C Swiderski, DDS, MD NPI is 1356320576. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1565 LIBERTY ST SE
SALEM, OR
ZIP 97302-345
Phone: (503) 581-0223

The NPI 1356320576 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 1/16/2006 and was last updated on 4/18/2009.

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
11223S0112XDentistOral and Maxillofacial Surgery11819MINNESOTANo
21223S0112XDentistOral and Maxillofacial SurgeryD9087OREGONNo
3204E00000XOral & Maxillofacial SurgeryMD29162OREGONNo
4204E00000XOral & Maxillofacial Surgery50992MINNESOTAYes

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
1190000743MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
2P00052037OTHERMINNESOTAMEDICARE, RAILROAD
3850000103MEDICARE PINMINNESOTA
4729449200MEDICAIDMINNESOTA
5U96525MEDICARE UPIN

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: 11/21/2025

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