Provider Demographics
NPI:1174147060
Name:SWET, ASHLEY (DH60205578)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:SWET
Suffix:
Gender:F
Credentials:DH60205578
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14304 263RD AVE E
Mailing Address - Street 2:
Mailing Address - City:BUCKLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98321-9013
Mailing Address - Country:US
Mailing Address - Phone:253-951-0324
Mailing Address - Fax:
Practice Address - Street 1:8412 MYERS RD E
Practice Address - Street 2:
Practice Address - City:BONNEY LAKE
Practice Address - State:WA
Practice Address - Zip Code:98391-5112
Practice Address - Country:US
Practice Address - Phone:253-951-0324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-05
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADH60205578124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty