Susan M DO DDS PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SUSAN M DO DDS PC

Practice address

308 W 6TH St # 203
Corona, CA 92882-3349

Phone

(951) 508-0001

Fax

(951) 508-0004

NPI assigned

Dec 5, 2025

Last updated

Mar 12, 2026By 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. Susan DO, DDS

Title

Owner Dentist

Phone

(951) 508-0001

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1235092263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W 6TH ST # 203",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823349",
            "telephone_number": "951-508-0001",
            "fax_number": "951-508-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W 6TH ST # 203",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823349",
            "telephone_number": "951-508-0001",
            "fax_number": "951-508-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN M DO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-05",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "951-508-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DL",
            "identifier": "101432",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Andrea Swartz

• Pediatric Dentistry in Corona, CA
• Providers in Corona, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.