Provider Demographics
NPI:1225180623
Name:SWIEDOM, LLOYD BERNARD (DDS)
Entity Type:Individual
Prefix:
First Name:LLOYD
Middle Name:BERNARD
Last Name:SWIEDOM
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15314 BRANDONWOOD PL
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-1531
Mailing Address - Country:US
Mailing Address - Phone:713-688-8583
Mailing Address - Fax:281-586-6029
Practice Address - Street 1:6915 ANTOINE DR STE A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091-1214
Practice Address - Country:US
Practice Address - Phone:713-688-8583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93901223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics