Provider Demographics
NPI:1376792259
Name:DIXIT, SWATI S (DDS)
Entity Type:Individual
Prefix:
First Name:SWATI
Middle Name:S
Last Name:DIXIT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:SWATI
Other - Middle Name:
Other - Last Name:DIXIT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:3720 CALL FIELD RD STE 100
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76308-2766
Mailing Address - Country:US
Mailing Address - Phone:940-692-0589
Mailing Address - Fax:940-249-9089
Practice Address - Street 1:3720 CALL FIELD RD STE 100
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76308
Practice Address - Country:US
Practice Address - Phone:940-692-0589
Practice Address - Fax:940-249-9089
Is Sole Proprietor?:No
Enumeration Date:2008-09-16
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK60771223G0001X
TX241271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1376792259.OtherNPPES