MEDICARE: SWATI YADAV

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	30.025783	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	30.025783	OTHER	OH	STATE LICENSE

General Provider Information

NPI Number	:	1699335539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SWATI YADAV

Provider Business Mailing Address
First Line	:	11 S MILL ST STE 200
Second Line	:
City	:	NEW CASTLE
State	:	PA
Zip	:	16101-3680
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	820 W MAIN ST
Second Line	:
City	:	HEBRON
State	:	OH
Zip	:	43025-9033
Country	:	US
Telephone Number	:	740-928-4596
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2019
Last Update Date	:	11/27/2023

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Directions to “ SWATI YADAV ” Practice Location

Language	Start Address	Practice Location

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