MEDICARE: JAMES S SWANSON DDS

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

General Provider Information

NPI Number	:	1235071812
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES S SWANSON DDS

Provider Business Mailing Address
First Line	:	4115 UNIVERSITY WAY NE STE 117
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98105-6257
Country	:	US
Telephone Number	:	206-633-1048
Fax Number	:	206-519-6703

Provider Business Practice Location Address
First Line	:	4115 UNIVERSITY WAY NE STE 117
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98105-6257
Country	:	US
Telephone Number	:	206-633-1048
Fax Number	:	206-519-6703

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAMES STANFORD SWANSON
Credential	:	DDS
Telephone Number	:	206-633-1048

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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