Healthcare Provider Details

I. General information

NPI: 1982510616
Provider Name (Legal Business Name): ALPENGLOW DENTAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4733 BEVERLY PIKE
BEVERLY WV
26253-6104
US

IV. Provider business mailing address

4733 BEVERLY PIKE
BEVERLY WV
26253-6104
US

V. Phone/Fax

Practice location:
  • Phone: 304-636-5800
  • Fax:
Mailing address:
  • Phone: 304-636-5800
  • 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: DR. ASHLEY SWECKER
Title or Position: OWNER, GENERAL DENTIST
Credential: D.D.S.
Phone: 304-636-5800