Provider Demographics
NPI:1396966776
Name:DANIEL C. SWARVAR, D.D.S., P.C.
Entity type:Organization
Organization Name:DANIEL C. SWARVAR, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF P.C.
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:SWARVAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:231-755-1584
Mailing Address - Street 1:2187 LAKESHORE DR
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49441-1413
Mailing Address - Country:US
Mailing Address - Phone:231-755-1584
Mailing Address - Fax:231-755-6046
Practice Address - Street 1:2187 LAKESHORE DR
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49441-1413
Practice Address - Country:US
Practice Address - Phone:231-755-1584
Practice Address - Fax:231-755-6046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI145921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty