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NPI Code Detail

MEDICARE: RICKIA JACKEE' LANIECE SWINTON RDH

MEDICARE: RICKIA JACKEE' LANIECE SWINTON RDH
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
1124Q00000XDental Hygienist2902020838MI

General Provider Information

NPI Number : 1700629813
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICKIA JACKEE' LANIECE SWINTON RDH
Provider Business Mailing Address
First Line : 906 BOYD DR APT 2
Second Line :
City : ALBION
State : MI
Zip : 49224-1093
Country : US
Telephone Number : 517-499-2882
Fax Number :
Provider Business Practice Location Address
First Line : 500 N JACKSON ST
Second Line :
City : JACKSON
State : MI
Zip : 49201-1223
Country : US
Telephone Number : 517-748-5444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2024
Last Update Date : 06/17/2024

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Directions to “ RICKIA JACKEE' LANIECE SWINTON RDH” Practice Location

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