SWAN DENTAL LLC (NPI# 1396275673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396275673 |
| Entity Type | Organization |
| Organization Name | SWAN DENTAL LLC |
| Practice Address |
111 Elm St Ste 101 Worcester MA 01609-1967 |
| Mailing Address |
16 Harrington Ave # A Shrewsbury MA 01545-5268 |
| Practice Telephone | 5087994626 |
| Mailing Telephone | 8576362174 |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | WENQI LI (DENTIST) |
| Authorized Official Telephone | 5087994626 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN1855122 | MA | Ambulatory Health Care Facilities |
| Street Address |
111 ELM ST STE 101 |
| City | WORCESTER |
| State | MA |
| Zip Code | 01609-1967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457821415 | Lee Family Dental Care Pllc | Clinic/Center | 111 Elm St Ste 101, Worcester, MA 01609-1967 | 2018-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018388 | Alyssa Lynne Szymkowicz | Counselor | 2b Pelham Street, Apartment 3, Worcester, MA 01609 | 2019-11-19 |
| 1295200848 | Carmen P Rivera Martinez | Counselor | 20 Irving Street, Worcester, MA 01609 | 2018-10-10 |
| 1386126704 | Sarah J Macdonald | Psychologist | 27 Sever St, Worcester, MA 01609 | 2018-09-01 |
| 1437641107 | Christopher Quoc-duy Nguyen | Dentist | 111 Elm Street Suite 203, Worcester, MA 01609 | 2018-05-30 |
| 1396190096 | Dasa Home Health Inc | Home Health | 255 Park Ave Ste 1101a, Worcester, MA 01609 | 2016-04-30 |
| 1912306135 | Neighborhood Dental Group, PC | Dentist | 111 Elm St Suite 203, Worcester, MA 01609 | 2014-08-14 |
| 1306254875 | Brenda Mccarthy-trayah | Counselor | 198 Russell St., Worcester, MA 01609 | 2014-07-29 |
| 1386052009 | Allene Rizzolo | Early Intervention Provider Agency | 548 Park Ave., South Bay Early Intervention, Worcester, MA 01609 | 2014-07-25 |
| 1477849032 | Diversified Staffing | Nursing Care | 39 Salisbury Street, Worcester, MA 01609 | 2011-06-22 |
| 1508195140 | 64 Highland Dental | Dentist | 64 Highland Street, Worcester, MA 01609 | 2009-12-10 |
| Find all providers in zip 01609 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700348489 | Deepti Kalra,dmd,pllc | Clinic/Center | 3 Triangle St, Worcester, MA 01606-3017 | 2019-04-02 |
| 1649730334 | 42 North Dental Care, LLC | Clinic/Center | 41 Park Ave Ste 3-4, Worcester, MA 01605-3947 | 2019-03-20 |
| 1508333915 | Simply Dental of Worcester South Pllc | Clinic/Center | 10 Winthrop St Ste 2, Worcester, MA 01604-4445 | 2018-10-24 |
| 1952573347 | Frederick L Bayon Dmd & Jeffrey D Maher Dmd PC | Clinic/Center | 445 Grove Street, Worcester, MA 01605 | 2008-03-26 |
| 1245439397 | Quinsigamond Community College | Clinic/Center | 670 W Boylston St, Worcester, MA 01606-2064 | 2007-07-17 |
| 1629610985 | Arena Family Dental LLC | Clinic/Center | 1049 Main St, Worcester, MA 01603-2485 | 2019-10-08 |
| 1538623111 | Nima Ansari Dmd Pllc (dba: Our Family Dental) | Clinic/Center | 700 Southbridge St Ste 2, Worcester, MA 01610-2941 | 2019-01-28 |
| 1992278238 | Simply Dental of Worcester East Pllc | Clinic/Center | 330 Plantation St, Worcester, MA 01604-1750 | 2019-01-09 |
| 1457821415 | Lee Family Dental Care Pllc | Clinic/Center | 111 Elm St Ste 101, Worcester, MA 01609-1967 | 2018-12-03 |
| 1396287983 | Feel Good Dental PC | Clinic/Center | 27-29 Mechanic St, Suite 200, Worcester, MA 01608-2414 | 2016-11-14 |
| Find all providers in WORCESTER | ||||
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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.