Provider Demographics
NPI:1982875746
Name:SWICORD, HENRY GRADY (DMD)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:GRADY
Last Name:SWICORD
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 1:707 RICHARD ARRINGTON JR BLVD S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-2105
Mailing Address - Country:US
Mailing Address - Phone:205-251-8128
Mailing Address - Fax:205-251-8188
Practice Address - Street 1:707 RICHARD ARRINGTON JR BLVD SO
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-2105
Practice Address - Country:US
Practice Address - Phone:205-251-8128
Practice Address - Fax:205-251-8188
Is Sole Proprietor?:No
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4051122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist