Susan L. Albert
Individual provider Active NPI General Practice Dentistry · Brighton, MA
NPI 1205964327 · NPPES record last updated Oct 11, 2023
Key facts
- NPI
- 1205964327
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 14153 (MA)
- Practice address
- 292 Foster St
Brighton, MA 02135-5104 - Phone
- (617) 254-6398
- NPI assigned
- Mar 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14153 | MA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14153 | MA | Yes |
Addresses
Primary practice location
292 Foster St
Brighton, MA 02135-5104
Mailing address
5 Highland St
Sharon, MA 02067-1421
NPI Registry JSON
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1205964327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 HIGHLAND ST",
"city": "SHARON",
"state": "MA",
"postal_code": "020671421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "292 FOSTER ST",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021355104",
"telephone_number": "617-254-6398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBERT",
"first_name": "SUSAN L.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "14153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brighton, MA
- Elif Aksoy
- Emad Al Haj Ali
- Mahmoud Al Khalili
- Ahmad Hasan Mahmoud Al Nsour
- Karen Albert
- Rania Mohammed Albesher
- Aldo Sferra
- Benjamin Aldrich
- Nathan Dominic Alessio
- Sarah Alexander
All providers in Brighton, MA · General Practice Dentistry in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.