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Swan Oral & Facial Surgery, Llc
Oral and Maxillofacial Surgery Clinic/Center in Lakeland, Florida
NPI 1073143731

Swan Oral & Facial Surgery, Llc is a Oral and Maxillofacial Surgery Clinic/Center based in Lakeland, FL and is specialized in Oral and Maxillofacial Surgery. Swan Oral & Facial Surgery, Llc practices in Lakeland, FL. The NPI Number for Swan Oral & Facial Surgery, Llc is 1073143731 and holds a License No. (Florida).

The current practice location address for Swan Oral & Facial Surgery, Llc is 407 S Kentucky Ave, Lakeland, FL and can be reached out via phone at 863-688-1537 and via fax at 863-687-3418.

Location: 407 S Kentucky Ave, Lakeland, FL, 33801-5301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073143731
Provider Name
Swan Oral & Facial Surgery, Llc
Credential
Provider Entity Type
Organization
Address
407 S Kentucky Ave, Lakeland, FL, 33801-5301
Phone Number
863-688-1537
Fax Number
863-687-3418
Provider Enumeration Date
01/22/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DN17708 01 FL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
407 S Kentucky Ave
City
Lakeland
State
Florida
Zip
33801-5301
Phone Number
863-688-1537
Fax Number
863-687-3418
person
Provider Business Mailing Address Details
Address
407 S Kentucky Ave
City
Lakeland
State
Florida
Zip
33801-5301
Phone Number
863-688-1537
Fax Number
863-687-3418
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
261QS0112X
License No.
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Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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