MEDICARE: CHRISTOPHER STENDER SWICORD

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	122300000X	Dentist	D-0007066-C1	AL

General Provider Information

NPI Number	:	1356071757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER STENDER SWICORD

Provider Business Mailing Address
First Line	:	3351 OLD MONTGOMERY HWY STE 202
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-4240
Country	:	US
Telephone Number	:	205-637-6018
Fax Number	:

Provider Business Practice Location Address
First Line	:	3351 OLD MONTGOMERY HWY STE 202
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-4240
Country	:	US
Telephone Number	:	205-637-6018
Fax Number	:

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

Provider Enumeration Date	:	06/16/2022
Last Update Date	:	11/06/2024

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Directions to “ CHRISTOPHER STENDER SWICORD ” Practice Location

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