Provider Demographics
NPI:1962515536
Name:SWINNEY, FELICIA VICTORIA (DMD)
Entity type:Individual
Prefix:DR
First Name:FELICIA
Middle Name:VICTORIA
Last Name:SWINNEY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:213 CONNER DR APT 20
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-7031
Mailing Address - Country:US
Mailing Address - Phone:706-421-0624
Mailing Address - Fax:
Practice Address - Street 1:UNC SCHOOL OF DENTISTRY PEDIATRIC DENTISTRY
Practice Address - Street 2:CB# 7450, 228 BRAUER HALL
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7450
Practice Address - Country:US
Practice Address - Phone:919-966-2739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN013358122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist