Provider Demographics
NPI:1386842995
Name:SWEIDAN, CAESAR (DDS)
Entity Type:Individual
Prefix:DR
First Name:CAESAR
Middle Name:
Last Name:SWEIDAN
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 1:5024 KEYSTONE BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-7517
Mailing Address - Country:US
Mailing Address - Phone:985-778-0241
Mailing Address - Fax:985-778-0428
Practice Address - Street 1:5024 KEYSTONE BLVD STE A
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7517
Practice Address - Country:US
Practice Address - Phone:985-778-0241
Practice Address - Fax:985-778-0428
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT390200000X
LA62481223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program