Susan Rink, D.M.D.
Individual provider Active NPI General Practice Dentistry · Dalton, PA
NPI 1164636767 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164636767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS02374L (PA)
- Practice address
- 112 North Turnpike Road
Dalton, PA 18414 - Phone
- (570) 563-2568
- Fax
- (570) 563-8289
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160419000899 | PA | Order and Referring Only - Dentist |
2961700356 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS02374L | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susan E Rink, D.M.D., P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS02374L | PA | Yes |
Addresses
Primary practice location
112 North Turnpike Road
Dalton, PA 18414
Mailing address
PO Box 218
Dalton, PA 18414-0218
Phone (570) 563-2568
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 472316 | Other | PA | UNITED CONCORDIA |
Other providers in Dalton, PA
- Lisa Ann Noto
- Gita Ben Patel
- Mayur Chandra Patel
- Jennie L Petrone
- Lise Ann Rice
- Jennifer Sarah Spinelli
- Charles F Strickland
- Emily Stuenzi
- Susan E Rink, D.M.D., P.C.
- Michael Trovato
All providers in Dalton, PA · General Practice Dentistry in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.