Provider Demographics
NPI:1295871671
Name:SWIGER, CRAIG (DMD)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:
Last Name:SWIGER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2808 DARBY ST NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30319-3655
Mailing Address - Country:US
Mailing Address - Phone:678-953-2679
Mailing Address - Fax:
Practice Address - Street 1:2808 DARBY ST NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30319-3655
Practice Address - Country:US
Practice Address - Phone:678-953-2679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN013324122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist