LARRY DEAN SWANSON (NPI# 1235205238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235205238 |
| Entity Type | Individual |
| Full Name | LARRY DEAN SWANSON |
| Credential | DDS |
| Practice Address |
427 North Broadway Street Wahoo NE 68066 |
| Practice Telephone | 4024434989 |
| Practice Fax Number | 4024431240 |
| Mailing Telephone | 4024434989 |
| Mailing Fax Number | 4024431240 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5165 | NE | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47069066500 | 05 | |
| NE | BLUE CROSS BLUE SHIELD | 05662 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619008687 | Larry Swanson | Massage Therapist | 509 Olive Way Ste 1658, Seattle, WA 98101-1729 | 2007-03-08 |
| Street Address |
427 NORTH BROADWAY STREET |
| City | WAHOO |
| State | NE |
| Zip Code | 68066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336336650 | Assisted Living Concepts Inc | Assisted Living Facility | 1313 Hackberry Street, Wahoo, NE 68066 | 2007-10-01 |
| 1114305083 | Nicole Marie Akers | Family Medicine | 1760 County Road J, Wahoo, NE 68066 | 2015-05-12 |
| 1962616664 | Crmt Inc. | Durable Medical Equipment & Medical Supplies | 141 East 5th Street, Wahoo, NE 68066-0367 | 2007-05-10 |
| 1114303518 | Barbara Chall | Speech-Language Pathologist | 2201 N Locust St, Wahoo, NE 68066-1093 | 2015-08-07 |
| 1518586916 | Abigail Hiebner | Speech-Language Pathologist | 2201 N Locust St, Wahoo, NE 68066-1093 | 2020-04-15 |
| 1285271437 | Joshua Trutna | Registered Nurse | 2201 N Locust St, Wahoo, NE 68066-1093 | 2019-12-06 |
| 1649754193 | Jennifer Johnson | Psychologist | 2201 N Locust St, Wahoo, NE 68066-1093 | 2018-09-20 |
| 1174979322 | Kelsey Sestak | Speech-Language Pathologist | 2201 N Locust St, Wahoo, NE 68066-1093 | 2016-05-06 |
| 1730225343 | Daileys Clinic Phcy Inc | Pharmacy | 735 W 10th St, Wahoo, NE 68066-1100 | 2007-01-30 |
| 1578547816 | Linda Schulzkump | Emergency Medicine | 805 W 10th St, Wahoo, NE 68066-1102 | 2005-11-30 |
| Find all providers in zip 68066 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356423115 | Thomas G Hart | Dentist | 655 N Linden St, Wahoo, NE 68066-1753 | 2006-10-20 |
| 1033123336 | Wahoo Dental Associates, P.C. | Dentist | 357 E 4th St, Wahoo, NE 68066-1920 | 2006-07-29 |
| 1871778423 | Jason Patrick Glock | Dentist | 357 E 4th St, Wahoo, NE 68066-1920 | 2008-01-02 |
| 1922283571 | Elizabeth A. Biehl | Dentist | 357 E 4th St, Wahoo, NE 68066-1920 | 2008-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891313508 | Eric Ahrens | Dentist | 3915 4th Ave, Kearney, NE 68845-2838 | 2020-07-09 |
| 1275150401 | Vy T Vu | Dentist | 6835 S 27th St Ste 2, Lincoln, NE 68512-4824 | 2020-07-03 |
| 1326664483 | Robert Kirkland | Dentist | 1919 S 40th St Ste 200, Lincoln, NE 68506-5247 | 2020-06-24 |
| 1265058861 | Christine Ruth Bergman | Dentist | 2121 S 70th Street, Lincoln, NE 68506 | 2020-06-19 |
| 1881218428 | South Lincoln Family Dentistry LLC | Dentist | 2121 S. 70th Street, Lincoln, NE 68506 | 2020-05-29 |
| 1982240024 | Autumn Brown | Dentist | 989375 Nebraska Medical Ctr Fl Center3, Omaha, NE 68198-9375 | 2019-11-25 |
| 1619529617 | Brenton Joseph Matulka | Dentist | 575 Fallbrook Blvd Ste 107, Lincoln, NE 68521-9040 | 2019-07-10 |
| 1720646987 | Lindsey White | Dentist | 40890 W. Hwy 6 & 34, Cambridge, NE 69022 | 2019-06-03 |
| 1407411507 | Today's Dental 74th Plaza, LLC | Dentist | 900 S 74th Plz Ste 300, Omaha, NE 68114-4667 | 2019-05-03 |
| 1104390855 | Millard Hills Dental Health Center LLC | Dentist | 14202 Y Street, Omaha, NE 68137 | 2019-01-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LARRY DEAN SWANSON.
| 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.