Organization
KATHRYN A. SWAN, D.D.S., M.S., P.C.
Active
Other names
Swan Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN ANNE SWAN D.D.S., M.S. (PRESIDENT)
(616) 698-2323
Entity
Organization
Contact information
Practice address
6677 CROSSINGS DR SE, SUITE #2, GRAND RAPIDS, MI 49508-7889
(616) 698-2323
(616) 871-9253
Mailing address
6677 CROSSINGS DR SE, SUITE #2, GRAND RAPIDS, MI 49508-7889
(616) 698-2323
(616) 871-9253
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901019044
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164618344
NPI
MI
01
—
1831209931
NPI
MI
Enumeration date
09/09/2008
Last updated
11/25/2008
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