Provider Demographics
NPI:1528351038
Name:SWANKHOUSE, BARBARA D (DDS)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:D
Last Name:SWANKHOUSE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:363 S HARLAN ST STE 110
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-3552
Mailing Address - Country:US
Mailing Address - Phone:303-935-6559
Mailing Address - Fax:
Practice Address - Street 1:363 S HARLAN ST STE 110
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-3552
Practice Address - Country:US
Practice Address - Phone:303-935-6559
Practice Address - Fax:303-935-5408
Is Sole Proprietor?:No
Enumeration Date:2011-05-17
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10476122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist