Suzanne E Edwards, DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS028115L Issued in PA

Legal business name

SUZANNE E EDWARDS, DMD, PC

Practice address

15 W Water St
Lock Haven, PA 17745-1250

Phone

(570) 748-3595

Fax

(570) 748-9622

NPI assigned

Feb 5, 2013

Last updated

Feb 5, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sue A Hills

Title

Receptionist

Phone

(570) 748-3595

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Suzanne E Edwards, DMD

  • General Practice Dentistry
  • Lock Haven, PA
  • NPI 1720188378
  NPD (past)
• William R Edwards, DMD

  • General Practice Dentistry
  • Lock Haven, PA
  • NPI 1053523464
  NPD (past)

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1104165596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W WATER ST",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177451250",
            "telephone_number": "570-748-3595",
            "fax_number": "570-748-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W WATER ST",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177451250",
            "telephone_number": "570-748-3595",
            "fax_number": "570-748-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE E EDWARDS, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "HILLS",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "570-748-3595"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS028115L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Susquehanna Physician Services (Susquehanna Health Medical Group)
• SV Opco LLC
• Timothy L. Swift, PA-C
• Taylor Talasky, PA-C
• Heather Hannah Tawney, M. A., LPC
• Tammy Lee Taylor

• General Practice Dentistry in Lock Haven, PA
• Providers in Lock Haven, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.