Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223D0001X | Dental Public Health | 8424 | TN |
Y | 1223P0221X | Pediatric Dentist | DN1855261 | MA |
NPI | 1013991959 |
---|---|
Provider Name | Dr. Gerald Jerry Swee |
First Address | Westford, MA 01886-3198 |
Second Address | Westford, MA 01886-3198 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2005 |
Last Update Date | 06/01/2022 |