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Contact Information

BRADLEY R SWANSON, DDS MSD
54505 26TH STREET
UNIT E
SOUTH BEND, IN46635
 Phone: 574-807-9050
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for BRADLEY R SWANSON · (Male)

NPI Number 1013033794
Status Active
Credentials DDS MSD
Entity Individual
Enumeration date 03/22/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 12010670A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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