Provider Demographics
NPI:1477652063
Name:SWINTECK, DENNIS J
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:J
Last Name:SWINTECK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23451 FORD RD
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48128-1257
Mailing Address - Country:US
Mailing Address - Phone:313-563-8000
Mailing Address - Fax:313-562-6276
Practice Address - Street 1:23451 FORD RD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48128-1257
Practice Address - Country:US
Practice Address - Phone:313-563-8000
Practice Address - Fax:313-562-6276
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI10192122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist