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NPI Code Detail

MEDICARE: DR. ELLEN PATRICIA SWIFT DDS

MEDICARE: DR. ELLEN PATRICIA SWIFT 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
1122300000XDentistD13813MN

General Provider Information

NPI Number : 1750818183
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELLEN PATRICIA SWIFT DDS
Provider Business Mailing Address
First Line : 4778 BANNING AVE
Second Line :
City : WHITE BEAR LAKE
State : MN
Zip : 55110-3264
Country : US
Telephone Number : 651-426-8998
Fax Number :
Provider Business Practice Location Address
First Line : 4778 BANNING AVE
Second Line :
City : WHITE BEAR LAKE
State : MN
Zip : 55110-3264
Country : US
Telephone Number : 651-426-8998
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2017
Last Update Date : 04/09/2026

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Directions to “ DR. ELLEN PATRICIA SWIFT DDS” Practice Location

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