Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAY IVOR SWANSON, D.D.S.,M.D.
Active Sole ProprietorJAY IVOR SWANSON, D.D.S.,M.D. is a Oral & Maxillofacial Surgery healthcare provider located in EFFINGHAM, Illinois. NPI 1811166614 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · EFFINGHAM, IL
Registration Details
- NPI Number
- 1811166614
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 26, 2008 (18.4319025512 yrs)
- Last Updated
- Mar 4, 2013
- License
-
019019384 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
901 MEDICAL PARK DREFFINGHAM, IL, 624012191Browse IL providers · Browse ZIP 62401
- Phone
- 2173424444
- Fax
- 2173478928
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in EFFINGHAM, IL
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS W FONNER | DMD | 1205907581 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.