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Contact Information

BRIDGET R SWANBERG AUSTIN, DDS
223 CIBEQUE CIRCLE ROAD
SAN CARLOS, AZ85550
 Phone: 928-475-7354
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for BRIDGET R SWANBERG AUSTIN · (Female)

NPI # 1518076595
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/30/2006
Last updated 11/01/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 019-024374
  • AZ Medicaid 524571
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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