Provider Demographics
NPI:1205055548
Name:STEVEN P SWORDS DMD, PC
Entity type:Organization
Organization Name:STEVEN P SWORDS DMD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:SWORDS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:706-324-4363
Mailing Address - Street 1:1380 14TH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901-2355
Mailing Address - Country:US
Mailing Address - Phone:706-324-4363
Mailing Address - Fax:706-324-4364
Practice Address - Street 1:1380 14TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-2355
Practice Address - Country:US
Practice Address - Phone:706-324-4363
Practice Address - Fax:706-324-4364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0115731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty