Provider Demographics
NPI:1356071757
Name:SWICORD, CHRISTOPHER STENDER
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:STENDER
Last Name:SWICORD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3351 OLD MONTGOMERY HWY STE 202
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-4240
Mailing Address - Country:US
Mailing Address - Phone:205-637-6018
Mailing Address - Fax:
Practice Address - Street 1:3351 OLD MONTGOMERY HWY STE 202
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-4240
Practice Address - Country:US
Practice Address - Phone:205-637-6018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-16
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALD-0007066-C1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist