MEDICARE: DAVID C SWIDERSKI DDS, MD

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	11819	MN
2	204E00000X	Oral & Maxillofacial Surgery (D.M.D.)	50992	MN
3	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	D9087	OR
4	204E00000X	Oral & Maxillofacial Surgery (D.M.D.)	MD29162	OR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00052037	OTHER	MN	MEDICARE, RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356320576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID C SWIDERSKI DDS, MD

Provider Business Mailing Address
First Line	:	1565 LIBERTY ST SE
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97302-4345
Country	:	US
Telephone Number	:	503-581-0223
Fax Number	:

Provider Business Practice Location Address
First Line	:	1565 LIBERTY ST SE
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97302-4345
Country	:	US
Telephone Number	:	503-581-0223
Fax Number	:

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

Provider Enumeration Date	:	01/16/2006
Last Update Date	:	04/18/2009

Similar Medicare Providers

1447258223 — GARY THEODORE PEDERSON D.D.S.
Practice Location Address:

1565 LIBERTY ST SE
SALEM, OR
97302-4345

Practice Phone: 503-581-0223
Practice Fax: 503-581-6794

1386691061 — DR. RODNEY DOUGLAS MICHAELS MD
Practice Location Address:

1585 LIBERTY ST SE
SALEM, OR
97302-4345

Practice Phone: 503-589-0565
Practice Fax: 503-589-0463

1124064506 — RODNEY D MICHAELS MD PC
Practice Location Address:

1585 LIBERTY ST SE
SALEM, OR
97302-4345

Practice Phone: 503-589-0565
Practice Fax: 503-589-0463

1780780692 — MRS. SOPHIE K SPARLING RD, LD
Practice Location Address:

1585 LIBERTY ST SE
SALEM, OR
97302-4345

Practice Phone: 503-589-0565
Practice Fax: 503-589-0463

1508074147 — SALEM VASCULAR CONSULTANTS, LLP
Practice Location Address:

1535 LIBERTY ST SE
SALEM, OR
97302-4345

Practice Phone: 503-371-8346
Practice Fax: 503-371-8334

1154517415 — GARY T. PEDERSON
Practice Location Address:

1565 LIBERTY ST SE
SALEM, OR
97302-4345

Practice Phone: 503-581-0223
Practice Fax: 503-581-6794

Directions to “ DAVID C SWIDERSKI DDS, MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.