M. Suzanne Ahnquist, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

M. SUZANNE AHNQUIST, D.M.D.

Practice address

1508 Oxford Dr
Georgetown, KY 40324-9266

Phone

(502) 863-0880

Fax

(502) 867-7363

NPI assigned

May 31, 2007

Last updated

Aug 22, 2020By 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

Dr. Mary Suzanne Ahnquist, DMD

Title

Doctor-Owner

Phone

(502) 863-0880

Specialties & licenses 1

Addresses

Other names 1

• Thoroughbred Smiles Other name

Locations

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114128410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 OXFORD DR",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249266",
            "telephone_number": "502-863-0880",
            "fax_number": "502-867-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 OXFORD DR",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249266",
            "telephone_number": "502-863-0880",
            "fax_number": "502-867-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. SUZANNE AHNQUIST, D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AHNQUIST",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "DOCTOR-OWNER",
        "authorized_official_telephone_number": "502-863-0880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thoroughbred Smiles",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amelia Carol Luckett
• Jerry Jason Lyles, D.C
• Lyndsay Dixon Nutrition LLC (Southern Roots Dietitian)
• Benjamin P Lyon, M.D.
• Rebecca Lyons, CRNA
• Caleb Mackey, LPCC
• James Russell Macswords III, PA-C
• Kenya Manley
• Kendra Rae Marcum
• Judith Hughson Marlowe, M.S., LMFT

• General Practice Dentistry in Georgetown, KY
• Providers in Georgetown, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.