Provider Demographics
NPI:1821267972
Name:SWANTKOWSKI, WENDY F (DDS)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:F
Last Name:SWANTKOWSKI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:L
Other - Last Name:FARRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:14011 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-6826
Mailing Address - Country:US
Mailing Address - Phone:281-293-9140
Mailing Address - Fax:281-293-9127
Practice Address - Street 1:14011 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-6826
Practice Address - Country:US
Practice Address - Phone:281-293-9140
Practice Address - Fax:281-293-9127
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-22
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21016122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist