Individual
MEGAN ELIZABETH SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3297 WASHINGTON ST, JAMAICA PLAIN, MA 02130-2655
(617) 983-6070
Mailing address
3297 WASHINGTON ST, JAMAICA PLAIN, MA 02130-2655
(617) 983-6070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1856243
MA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DL 11543
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2012
Last updated
12/01/2017
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