DR. MATTHEW ALLEN SWAN (NPI# 1336405315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336405315 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW ALLEN SWAN |
| Credential | DDS |
| Practice Address |
3714 Heath Rd Fl 32277 Jacksonville FL 32277-2045 |
| Mailing Address |
1051 Lauriston Drive St. Johns FL 32259 |
| Practice Telephone | 9043027552 |
| Mailing Telephone | (801) 718-8348 |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2017-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN22952 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327785 | Matthew Swan | Physician Assistant | 1225 Galileo Way, San Jacinto, CA 92583-5258 | 2020-08-23 |
| 1508176074 | Matthew Scott Swan | Occupational Therapist | 61188 Greenwood Dr, South Lyon, MI 48178-1702 | 2010-10-18 |
| 1881913390 | Matthew Russell-quinn Swan | Licensed Practical Nurse | 1861 Princeton Dr, Toledo, OH 43614-2933 | 2010-05-24 |
| 1962667303 | Matthew Carrington Swan | Psychiatry & Neurology | 10 Union Sq E Ste 5k, New York, NY 10003-3314 | 2008-07-24 |
| 1366973067 | Matthew Thomas Swan | Marriage & Family Therapist | 11818 Riverside Dr, 104, Valley Village, CA 91607-4077 | 2017-03-23 |
| 1154569143 | Matthew Joseph Swan | Anesthesiology | 800 Rose St, Chandler Medical Center, Lexington, KY 40536-0001 | 2009-01-28 |
| 1710144761 | Matthew W Swan | Internal Medicine | 6240 W 135th St Ste 150, Overland Park, KS 66223-4857 | 2008-05-19 |
| 1922165786 | Matthew Thomas Swan | Counselor | 260 Gateway Dr, Suite 3-4b, Bel Air, MD 21014-4268 | 2007-01-02 |
| Street Address |
3714 HEATH RD FL 32277 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32277-2045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408574 | Ortho 99 Plus 1 | Dentist | 7410 Merrill Road, Suite 2, Jacksonville, FL 32277 | 2020-02-10 |
| 1376042176 | Seginald Rashaad Chaney | Adult Companion | 5885 Edenfield Rd, Charter Landing Apartments Apt E-10, Jacksonville, FL 32277 | 2018-02-07 |
| 1578966875 | Erin Chretien | Behavioral Analyst | 3780 University Club Blvd Apt 3204, Jacksonville, FL 32277 | 2014-09-30 |
| 1518300128 | Michel Joseph Sabra | Surgery | 5053 Toproyal Ln, Jacksonville, FL 32277 | 2013-04-12 |
| 1982977443 | A1 Care Systems Inc | Assisted Living Facility | 7449 Sandhurst Rd S, Jacksonville, FL 32277 | 2012-02-14 |
| 1851453211 | Ajay Doddapaneni | Radiology | 7920 Merrill Rd Unit 708, Jacksonville, FL 32277 | 2006-12-14 |
| 1821184565 | Ramsey Bader Salem | Dentist | 6237 Merrill Road, Jacksonville, FL 32277 | 2006-10-04 |
| 1669913448 | Lalita Kummeth | Nurse Practitioner | 6484 Fort Caroline Rd, Jacksonville, FL 32277 | 2017-03-14 |
| 1750761094 | Andrew Jervey Hunt | Family Medicine | 6484 Fort Caroline Rd, Jacksonville, FL 32277 | 2015-06-02 |
| 1629310909 | Arun Joseph | Pediatrics | 6484 Fort Caroline Rd, Jacksonville, FL 32277 | 2013-03-25 |
| Find all providers in zip 32277 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558701177 | Richard W Blake Dds Pa | Dentist | 943 Cesery Blvd Ste D, Jacksonville, FL 32211-5655 | 2013-06-27 |
| 1215208947 | Culberson R Boren Dds | Dentist | 1634 S Jackson St, Jacksonville, TX 75766-3028 | 2012-01-26 |
| 1871755512 | Barry Philip Setzer | Dentist | 8355 Bayberry Rd, Jacksonville, FL 32256-4427 | 2008-06-25 |
| 1639370216 | Thomas Arch Pribisco | Dentist | 10822 Saint Augustine Rd, Jacksonville, FL 32257-1154 | 2007-05-30 |
| 1932317922 | Jodi Eve Mason | Dentist | 2008 Riverside Ave, Suite 101, Jacksonville, FL 32204-4443 | 2007-05-21 |
| 1679606768 | Marzieh Zahedi | Dentist | 14453 Beach Blvd, Suite 100, Jacksonville, FL 32250 | 2007-03-14 |
| 1780734251 | Jila J Mahajan | Dentist | 4495 Roosevelt Blvd Ste 111, Jacksonville, FL 32210-3382 | 2007-01-10 |
| 1558467498 | Barry P Setzer Dds and Stephen D Cochran Dmd Pa | Dentist | 8355 Bayberry Road, Jacksonville, FL 32256 | 2006-09-16 |
| 1912014937 | Pediatric Smiles, Inc | Dentist | 2262 Dunn Ave, Ste 4, Jacksonville, FL 32218 | 2006-08-24 |
| 1558477414 | Staci Suggs | Dentist | 1651 Southside Connector Blvd., #1, Jacksonville, FL 32225 | 2006-08-22 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32277 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.