Healthcare Provider Details

I. General information

NPI: 1023938586
Provider Name (Legal Business Name): SWANSON FAMILY DENTAL OF AMES, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 DUFF AVE
AMES IA
50010-5467
US

IV. Provider business mailing address

1212 DUFF AVE
AMES IA
50010-5467
US

V. Phone/Fax

Practice location:
  • Phone: 515-233-2174
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: ROBERT SWANSON
Title or Position: PARTNER
Credential: DDS
Phone: 515-509-8680