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Justin Swank, DDS
Student in an Organized Health Care Education/Training Program in Farmington, Connecticut
NPI 1508491564

Justin Swank is a Student in an Organized Health Care Education/Training Program based in New Britain, CT. Justin Swank practices in Farmington, CT and has the professional credentials of DDS. The NPI Number for Justin Swank is 1508491564 and holds a License No. 04643 (Connecticut).

The current practice location address for Justin Swank is 263 Farmington Ave, Farmington, CT and can be reached out via phone at 860-679-2000.

Location: 263 Farmington Ave, Farmington, CT, 06053-1147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508491564
Provider Name
Justin Swank
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
263 Farmington Ave, Farmington, CT, 06053-1147
Phone Number
860-679-2000
Fax Number
Provider Enumeration Date
03/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
263 Farmington Ave
City
Farmington
State
Connecticut
Zip
06030-0001
Phone Number
860-679-2000
Fax Number
person
Provider Business Mailing Address Details
Address
263 Farmington Ave
City
Farmington
State
Connecticut
Zip
06030-0001
Phone Number
860-679-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12887 (Connecticut)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
04643 (New Hampshire)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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