Organization
PETERSON & SWARTZ DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY TAYLOR SWARTZ DDS (OWNER)
(336) 441-8032
Entity
Organization
Contact information
Practice address
10479 N. HIGHWAY 109, SUITE 107 B, WINSTON SALEM, NC 27107-9884
(701) 428-1730
Mailing address
10479 N. HIGHWAY 109, SUITE 107 B, WINSTON SALEM, NC 27107-9884
(701) 428-1730
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7494
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PE-G6JQU7H23
—
NC
Enumeration date
07/03/2014
Last updated
07/03/2014
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