Provider Demographics
NPI:1912719873
Name:SWOPE DENTAL
Entity type:Organization
Organization Name:SWOPE DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:G
Authorized Official - Last Name:SWOPE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:682-521-5967
Mailing Address - Street 1:3030 HESTER AVE APT 453
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-3672
Mailing Address - Country:US
Mailing Address - Phone:682-521-5967
Mailing Address - Fax:
Practice Address - Street 1:8350 N CENTRAL EXPY STE G105
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-1603
Practice Address - Country:US
Practice Address - Phone:682-521-5967
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental