Susan JS Malone, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SUSAN JS MALONE, DDS, PC

Practice address

231 State St
Petoskey, MI 49770-2785

Phone

(231) 347-6932

Fax

(231) 347-0292

NPI assigned

Oct 7, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Malone, DDSNPI 1407932593

Title

Owner

Phone

(231) 347-6932

Specialties & licenses 1

Addresses

Electronic endpoints 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Joy-Schlater Malone, D.D.S., P.C.

  • General Practice Dentistry
  • Petoskey, MI
  • NPI 1407932593
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1033716592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 STATE ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702785",
            "telephone_number": "231-347-6932",
            "fax_number": "231-347-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 STATE ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702785",
            "telephone_number": "231-347-6932",
            "fax_number": "231-347-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN JS MALONE, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-347-6932",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Petoskey",
            "affiliation": "N",
            "address_1": "231 State St",
            "city": "Petoskey",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497702785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Petoskey",
            "affiliation": "N",
            "address_1": "231 State St",
            "city": "Petoskey",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497702785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bryan T Stump, DMD
• Michele Sturt, CFNP
• Drew E Styma, ATC
• Joseph P Sullivan, M.D., PH.D.
• Paul Michael Sullivan, LPC
• Susan M Hoffman LMSW LLC
• Susan M. Hoffman
• Marissa Sweeney, LPC
• Ayriss Ann Swenor, DC
• Joseph Patrick Sypniewski, D.O.

• General Practice Dentistry in Petoskey, MI
• Providers in Petoskey, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.