Provider Demographics
NPI:1073610580
Name:SWIATEK, MATTHEW JOHN (DMD MMSC)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:JOHN
Last Name:SWIATEK
Suffix:
Gender:
Credentials:DMD MMSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 MARTINGALE CIR
Mailing Address - Street 2:
Mailing Address - City:EAST FALLOWFIELD TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:19320-4662
Mailing Address - Country:US
Mailing Address - Phone:610-764-5293
Mailing Address - Fax:610-358-2986
Practice Address - Street 1:3915 E LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335
Practice Address - Country:US
Practice Address - Phone:610-269-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-19
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029732L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics