Provider Demographics
NPI:1760618771
Name:SWAYNE, JULIANNE MARIA
Entity Type:Individual
Prefix:DR
First Name:JULIANNE
Middle Name:MARIA
Last Name:SWAYNE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 WEST LOVELAND AVENUE
Mailing Address - Street 2:SUITE C
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140
Mailing Address - Country:US
Mailing Address - Phone:513-683-4500
Mailing Address - Fax:513-683-6066
Practice Address - Street 1:410 W. LOVELAND AVENUE
Practice Address - Street 2:SUITE C
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140
Practice Address - Country:US
Practice Address - Phone:513-683-4500
Practice Address - Fax:513-683-6066
Is Sole Proprietor?:No
Enumeration Date:2009-06-04
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH202871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice