Provider Demographics
NPI:1700217023
Name:STEPHANIE SWORDS, DDS, PLLC
Entity Type:Organization
Organization Name:STEPHANIE SWORDS, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SWORDS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:817-723-9063
Mailing Address - Street 1:3100 SOUTH RIDGE RD
Mailing Address - Street 2:STE 300
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070
Mailing Address - Country:US
Mailing Address - Phone:817-723-9063
Mailing Address - Fax:
Practice Address - Street 1:3100 SOUTH RIDGE RD
Practice Address - Street 2:STE 300
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070
Practice Address - Country:US
Practice Address - Phone:817-723-9063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-12
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty