Provider Demographics
NPI:1629278619
Name:SWIRCZEK, HOLLY FRANCES (DDS)
Entity Type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:FRANCES
Last Name:SWIRCZEK
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 1:2430 S 73RD ST STE 202
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-2397
Mailing Address - Country:US
Mailing Address - Phone:402-991-9423
Mailing Address - Fax:402-991-9890
Practice Address - Street 1:2430 S 73RD ST STE 202
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-2397
Practice Address - Country:US
Practice Address - Phone:402-991-9423
Practice Address - Fax:402-991-9423
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE65721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025997800Medicaid