Provider Demographics
NPI:1083026926
Name:BARBARA D. SWANKHOUSE DDS PC
Entity Type:Organization
Organization Name:BARBARA D. SWANKHOUSE DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:DEANNA
Authorized Official - Last Name:SWANKHOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-935-6559
Mailing Address - Street 1:363 S HARLAN ST STE 110
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-3552
Mailing Address - Country:US
Mailing Address - Phone:303-935-6559
Mailing Address - Fax:303-935-5408
Practice Address - Street 1:363 S HARLAN ST STE 110
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-3552
Practice Address - Country:US
Practice Address - Phone:303-935-6559
Practice Address - Fax:303-935-5408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-27
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10476261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental