# RILEY R SWANSON DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063684462
- **Authorized official:** DR. RILEY R SWANSON SR. DDS (PRESIDENT)
- **Authorized official phone:** (770) 991-0212

## Contact information

- **Practice address:** 2090 GODBY RD, COLLEGE PARK, GA 30349-5248
- **Practice address phone:** (770) 991-0212
- **Practice address fax:** (770) 997-4854
- **Mailing address:** 2090 GODBY RD, COLLEGE PARK, GA 30349-5248
- **Mailing address phone:** (770) 991-0212
- **Mailing address fax:** (770) 997-4854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 9207 | GA | Yes |

## Other

- **Enumeration date:** 03/26/2008
- **Last updated:** 03/26/2008
