Organization
FAMILY SMILES
Active
Other names
James C. Swanson, PC D. D. S., PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES CHARLES SWANSON DDS (OWNER)
(719) 564-0990
Entity
Organization
Contact information
Practice address
1001 S PUEBLO BLVD, PUEBLO, CO 81005-1682
(719) 564-0990
(719) 564-6817
Mailing address
1001 S PUEBLO BLVD, PUEBLO, CO 81005-1682
(719) 564-0990
(719) 564-6817
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3700
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01734237
JENNIFER KATTENSTELTE
CO
01
—
02073807
JAMIE JOHNSON
CO
05
—
81971842
—
CO
Enumeration date
09/14/2007
Last updated
10/16/2008
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