Provider Demographics
NPI:1033218946
Name:SWEITZER, THOMAS KEVIN (DMD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:KEVIN
Last Name:SWEITZER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 NORTH 23RD STREET
Mailing Address - Street 2:
Mailing Address - City:MOUNT PENN
Mailing Address - State:PA
Mailing Address - Zip Code:19606
Mailing Address - Country:US
Mailing Address - Phone:610-779-7444
Mailing Address - Fax:610-779-4818
Practice Address - Street 1:20 NORTH 23RD STREET
Practice Address - Street 2:
Practice Address - City:MOUNT PENN
Practice Address - State:PA
Practice Address - Zip Code:19606
Practice Address - Country:US
Practice Address - Phone:610-779-7444
Practice Address - Fax:610-779-4818
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS022659L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice