Provider Demographics
NPI:1013052273
Name:SWIFT, JULIE CAROL (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:CAROL
Last Name:SWIFT
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:CAROL
Other - Last Name:HORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:634 SW MULVANE ST
Mailing Address - Street 2:SUITE 306
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-1678
Mailing Address - Country:US
Mailing Address - Phone:785-233-1756
Mailing Address - Fax:785-233-1778
Practice Address - Street 1:634 SW MULVANE ST
Practice Address - Street 2:SUITE 306
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1678
Practice Address - Country:US
Practice Address - Phone:785-233-1756
Practice Address - Fax:785-233-1778
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS602561223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics