Individual
DR. JEFFREY LYNN SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1611 PEACH ST, SUITE 250, ERIE, PA 16501-2109
(814) 454-3001
(814) 454-3001
Mailing address
1611 PEACH ST, SUITE 250, ERIE, PA 16501-2109
(814) 454-3001
(814) 454-3001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
30.020741
OH
1223G0001X
General Practice Dentistry
Primary
DS023294L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009054360002
—
PA
Enumeration date
05/22/2007
Last updated
07/08/2007
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