Provider Demographics
NPI:1114265055
Name:SOOD, SWATI (DDS)
Entity Type:Individual
Prefix:DR
First Name:SWATI
Middle Name:
Last Name:SOOD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:795 N LEXINGTON SPRINGMILL RD
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:OH
Mailing Address - Zip Code:44906-1114
Mailing Address - Country:US
Mailing Address - Phone:800-965-6470
Mailing Address - Fax:866-803-4943
Practice Address - Street 1:795 N LEXINGTON SPRINGMILL RD
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:OH
Practice Address - Zip Code:44906-1114
Practice Address - Country:US
Practice Address - Phone:800-965-6470
Practice Address - Fax:866-803-4943
Is Sole Proprietor?:No
Enumeration Date:2013-01-28
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-023866122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist