Provider Demographics
NPI:1700295409
Name:MARY SWIFT DDS PLLC
Entity Type:Organization
Organization Name:MARY SWIFT DDS PLLC
Other - Org Name:TEXAS DENTAL SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RDA/INSURANCE BILLING
Authorized Official - Prefix:MRS
Authorized Official - First Name:DELLA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-619-6329
Mailing Address - Street 1:8700 PRESTON RD STE 126
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3321
Mailing Address - Country:US
Mailing Address - Phone:214-619-6329
Mailing Address - Fax:
Practice Address - Street 1:8700 PRESTON RD STE 126
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3321
Practice Address - Country:US
Practice Address - Phone:214-619-6329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DENTAL WEALTH PARTNERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-08-06
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27551122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty