Provider Demographics
NPI:1285741645
Name:SWETT, ALAN (DDS)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:
Last Name:SWETT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 448
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-0448
Mailing Address - Country:US
Mailing Address - Phone:515-253-0405
Mailing Address - Fax:515-276-3229
Practice Address - Street 1:5965 MERLE HAY RD
Practice Address - Street 2:SUITE A
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-0448
Practice Address - Country:US
Practice Address - Phone:515-253-0405
Practice Address - Fax:515-276-3229
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA68911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0204685Medicaid