National Provider Identifier Database

SWAN ORAL FACIAL SURGERY LLC
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

SWAN ORAL & FACIAL SURGERY, LLC
407 S KENTUCKY AVE
LAKELAND, FL33801-5301
Phone: 863-688-1537
Fax: 863-687-3418
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for SWAN ORAL & FACIAL SURGERY, LLC

NPI Number 1073143731
Legal business name
LBN
SWAN ORAL & FACIAL SURGERY, LLC
Authorized official RUSHI PATEL - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/22/2020
Last updated 01/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • FL Other: DN17708 STATE LICENSE

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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