person
Dr. Frederick Ray Swain, DDS
General Practice Dentistry in Louisville, Kentucky
NPI 1659374452

Frederick Ray Swain is a General Practice Dentistry based in Louisville, KY and is specialized in General Practice. Frederick Ray Swain practices in Louisville, KY and has the professional credentials of DDS. The NPI Number for Frederick Ray Swain is 1659374452 and holds a License No. 4519 (Kentucky).

The current practice location address for Frederick Ray Swain is 4010 Dupont Cir, Louisville, KY and can be reached out via phone at 502-897-3239 and via fax at 502-897-3476.

Location: 4010 Dupont Cir, Louisville, KY, 40207-4888
person
Provider Profile Details
NPI Number
1659374452
Provider Name
Frederick Ray Swain
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4010 Dupont Cir, Louisville, KY, 40207-4888
Phone Number
502-897-3239
Fax Number
502-897-3476
Provider Enumeration Date
05/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100010800A 01 IN MEDICAL ASSISTANCE
60045192 01 KY MEDICAL ASSISTANCE
4507 01 KY MEDICAL ASSISTANCE
200448 01 IN CRIPPLED CHILDREN'S SERVI
institution
Provider Business Practice Location Address Details
Address
4010 Dupont Cir
City
State
Zip
40207-4888
Phone Number
502-897-3239
Fax Number
502-897-3476
person
Provider Business Mailing Address Details
Address
4010 Dupont Cir
City
State
Zip
40207-4888
Phone Number
502-897-3239
Fax Number
502-897-3476
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
4519 (Kentucky)
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
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
4519 (Kentucky)
Definition
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.
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