Provider Demographics
NPI:1821009929
Name:SWEIDAN, AFNAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:AFNAN
Middle Name:
Last Name:SWEIDAN
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 1:1830 N MILFORD RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48357-3810
Mailing Address - Country:US
Mailing Address - Phone:248-889-6415
Mailing Address - Fax:248-889-5643
Practice Address - Street 1:1830 N MILFORD RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:MI
Practice Address - Zip Code:48357-3810
Practice Address - Country:US
Practice Address - Phone:248-889-6415
Practice Address - Fax:248-889-5643
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI178911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice