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Jay Ivor Swanson, DDS,MD
Oral and Maxillofacial Surgery (Dentist) in Effingham, Illinois
NPI 1811166614

Jay Ivor Swanson is a Oral and Maxillofacial Surgery (Dentist) based in Effingham, IL and is specialized in Oral and Maxillofacial Surgery. Jay Ivor Swanson practices in Effingham, IL and has the professional credentials of DDS,MD. The NPI Number for Jay Ivor Swanson is 1811166614 and holds a License No. 019019384 (Illinois).

The current practice location address for Jay Ivor Swanson is 901 Medical Park Dr, Effingham, IL and can be reached out via phone at 217-342-4444 and via fax at 217-347-8928.

Location: 901 Medical Park Dr, Effingham, IL, 62401-2191
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811166614
Provider Name
Jay Ivor Swanson
Credential
DDS,MD
Provider Entity Type
Individual
Gender
Male
Address
901 Medical Park Dr, Effingham, IL, 62401-2191
Phone Number
217-342-4444
Fax Number
217-347-8928
Provider Enumeration Date
02/26/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
019019384 05 IL
institution
Provider Business Practice Location Address Details
Address
901 Medical Park Dr
City
Effingham
State
Illinois
Zip
62401-2191
Phone Number
217-342-4444
Fax Number
217-347-8928
person
Provider Business Mailing Address Details
Address
901 Medical Park Dr
City
Effingham
State
Illinois
Zip
62401-2191
Phone Number
217-342-4444
Fax Number
217-347-8928
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
019019384 (Illinois)
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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