Provider Demographics
NPI:1568925477
Name:SWINDLE, SUMMER GLYN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SUMMER
Middle Name:GLYN
Last Name:SWINDLE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 6TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-2240
Mailing Address - Country:US
Mailing Address - Phone:573-724-1158
Mailing Address - Fax:
Practice Address - Street 1:4304 S CLAIBORNE AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70125-5104
Practice Address - Country:US
Practice Address - Phone:504-510-3133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-08
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7127122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist