Gordon Bates Swanstrom, D.D.S.

General Practice Dentistry · Pinole, CA

Individual Active NPI

NPI number 1194736801

Practice location

1430 Tara Hills Dr Ste C
Pinole, CA 94564-2512
Phone
(510) 724-8001
Fax
(510) 724-1930

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NPI record

NPI
1194736801
Entity type
Individual (Type 1)
Enumeration date
August 10, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 21654 CA

About Dr. Swanstrom

Gordon Bates Swanstrom, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1430 Tara Hills Dr Ste C, Pinole, CA 94564-2512. The NPI number 1194736801 was assigned on August 10, 2006 and the record was last updated on July 8, 2007.

Dr. Swanstrom lists a license in the registry: #21654 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gordon Bates Swanstrom, D.D.S.?

The NPI number is 1194736801.

What is the phone number of Dr. Swanstrom?

The phone number listed for the practice location is (510) 724-8001.

Where is Dr. Swanstrom located?

1430 Tara Hills Dr Ste C, Pinole, CA 94564-2512.

What is the taxonomy code for Dr. Swanstrom?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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