Individual
DR. ROBERT GLENDON SWARTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,MS
Contact information
Practice address
W12802 COUNTY HIGHWAY A, BOWLER, WI 54416
(715) 793-4144
(715) 793-5044
Mailing address
PO BOX 450, 450 OLD ABE ROAD, LAC DU FLAMBEAU, WI 54538-0450
(715) 588-4280
(715) 588-2269
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901011427
MI
1223G0001X
General Practice Dentistry
Primary
6640
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195816016
BCBS MEDICAL PROVIDER NUM
MI
01
—
6640
WI DENTAL LICENSE
WI
Enumeration date
01/29/2007
Last updated
08/28/2013
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