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NPI Code Detail

MEDICARE: DR. THOMAS BERGLUND SWAIN D.D.S.

MEDICARE:  DR. THOMAS BERGLUND SWAIN  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
11223G0001XGeneral Practice DentistryH-D-1-00541CO

General Provider Information

NPI Number : 1902804891
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS BERGLUND SWAIN D.D.S.
Provider Business Mailing Address
First Line : 390 UNIVERSITY BLVD
Second Line :
City : DENVER
State : CO
Zip : 80206-4125
Country : US
Telephone Number : 303-333-0771
Fax Number : 303-333-0779
Provider Business Practice Location Address
First Line : 390 UNIVERSITY BLVD
Second Line :
City : DENVER
State : CO
Zip : 80206-4125
Country : US
Telephone Number : 303-333-0771
Fax Number : 303-333-0779
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 07/08/2007

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Directions to “ DR. THOMAS BERGLUND SWAIN D.D.S.” Practice Location

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