# PETERSON & SWARTZ DDS, PLLC

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

## Provider details

- **NPI number:** 1225444888
- **Authorized official:** DR. GREGORY TAYLOR SWARTZ DDS (OWNER)
- **Authorized official phone:** (336) 441-8032

## Contact information

- **Practice address:** 10479 N. HIGHWAY 109, SUITE 107 B, WINSTON SALEM, NC 27107-9884
- **Practice address phone:** (701) 428-1730
- **Mailing address:** 10479 N. HIGHWAY 109, SUITE 107 B, WINSTON SALEM, NC 27107-9884
- **Mailing address phone:** (701) 428-1730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7494 | NC | Yes |

## Other

- **Enumeration date:** 07/03/2014
- **Last updated:** 07/03/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PE-G6JQU7H23 | — | NC |