Provider Demographics
NPI:1770081200
Name:LANCE SWAPP DENTISTRY, PLLC
Entity type:Organization
Organization Name:LANCE SWAPP DENTISTRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:MORRIS
Authorized Official - Last Name:SWAPP
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:970-522-5535
Mailing Address - Street 1:112 DELMAR ST
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:CO
Mailing Address - Zip Code:80751-4138
Mailing Address - Country:US
Mailing Address - Phone:970-522-5535
Mailing Address - Fax:970-522-6942
Practice Address - Street 1:112 DELMAR ST
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:CO
Practice Address - Zip Code:80751-4138
Practice Address - Country:US
Practice Address - Phone:970-522-5535
Practice Address - Fax:970-522-6942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-30
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental