Provider Demographics
NPI:1235305202
Name:SWEARINGEN, LEE B (DDS)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:B
Last Name:SWEARINGEN
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 1:48959 CALCUTTA SMITH FERRY RD
Mailing Address - Street 2:
Mailing Address - City:EAST LIVERPOOL
Mailing Address - State:OH
Mailing Address - Zip Code:43920-9637
Mailing Address - Country:US
Mailing Address - Phone:330-385-4126
Mailing Address - Fax:330-385-0787
Practice Address - Street 1:48959 CALCUTTA SMITH FERRY RD
Practice Address - Street 2:
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920-9637
Practice Address - Country:US
Practice Address - Phone:330-385-4126
Practice Address - Fax:330-385-0787
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30014554122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist