Provider Demographics
NPI:1144601246
Name:SWART, ALETTA (DMD)
Entity Type:Individual
Prefix:
First Name:ALETTA
Middle Name:
Last Name:SWART
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 NEW CASTLE RD
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-2604
Mailing Address - Country:US
Mailing Address - Phone:724-282-2232
Mailing Address - Fax:724-282-8363
Practice Address - Street 1:168 NEW CASTLE RD
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-2604
Practice Address - Country:US
Practice Address - Phone:724-282-2232
Practice Address - Fax:724-282-8363
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-15
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS036538122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist