Individual
DR. JIMMY DEAN SWAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6401 NW EXPRESSWAY, SUITE 132, OKLAHOMA CITY, OK 73132-5170
(405) 728-2828
(405) 720-2929
Mailing address
6401 NW EXPRESSWAY, SUITE 132, OKLAHOMA CITY, OK 73132-5170
(405) 728-2828
(405) 720-2929
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5498
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030704
TRICARE CONCORDIA
OK
01
—
2305498
DELTA
OK
Enumeration date
09/16/2005
Last updated
07/13/2026
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