Provider Demographics
NPI:1467539635
Name:SWIFT, MAUREEN L (DDS MSD)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:L
Last Name:SWIFT
Suffix:
Gender:F
Credentials:DDS MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8015 SE 28TH ST
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040
Mailing Address - Country:US
Mailing Address - Phone:206-466-2635
Mailing Address - Fax:206-739-5920
Practice Address - Street 1:8015 SE 28TH ST
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040
Practice Address - Country:US
Practice Address - Phone:206-466-2635
Practice Address - Fax:206-739-5920
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA66751223E0200X
WADE000066751223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics