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NPI Code Detail

MEDICARE: DR. WALTER KENNETH SWING SR. D.D.S.

MEDICARE: DR. WALTER KENNETH SWING SR. D.D.S.
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry3613NC

General Provider Information

NPI Number : 1427109545
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WALTER KENNETH SWING SR. D.D.S.
Provider Business Mailing Address
First Line : 2801 GLENWOOD GARDENS LN UNIT 106
Second Line :
City : RALEIGH
State : NC
Zip : 27608-1237
Country : US
Telephone Number : 919-900-7042
Fax Number :
Provider Business Practice Location Address
First Line : 2801 GLENWOOD GARDENS LN UNIT 106
Second Line :
City : RALEIGH
State : NC
Zip : 27608-1237
Country : US
Telephone Number : 919-900-7042
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2007
Last Update Date : 12/08/2014

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