Provider Demographics
NPI:1386173276
Name:SWAPP, LANCE MORRIS (DDS)
Entity type:Individual
Prefix:
First Name:LANCE
Middle Name:MORRIS
Last Name:SWAPP
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 1:144 W BRIGHAM RD STE 15
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-7472
Mailing Address - Country:US
Mailing Address - Phone:303-898-8967
Mailing Address - Fax:
Practice Address - Street 1:144 W BRIGHAM RD STE 15
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-7472
Practice Address - Country:US
Practice Address - Phone:435-635-4444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-06
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010222171223G0001X
UT11176321-9924122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice