Provider Demographics
NPI:1922129436
Name:SWADE, NAGEEB NASSIF (DDS)
Entity Type:Individual
Prefix:DR
First Name:NAGEEB
Middle Name:NASSIF
Last Name:SWADE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7060 BRINT RD.
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-2806
Mailing Address - Country:US
Mailing Address - Phone:419-885-4531
Mailing Address - Fax:
Practice Address - Street 1:5552 SECOR RD.
Practice Address - Street 2:SUITE C
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-1922
Practice Address - Country:US
Practice Address - Phone:419-473-0788
Practice Address - Fax:419-474-5869
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH19584122300000X
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist