Susan H. Jacquot DDS PL

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN13135 Issued in FL

Legal business name

SUSAN H. JACQUOT DDS PL

Practice address

1626 S Conway Rd
Orlando, FL 32812-2705

Phone

(407) 894-6250

Fax

(407) 898-9444

NPI assigned

Dec 6, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Susan Jacquot, DDS

Title

Dentist

Phone

(407) 894-6250

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1235432709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 S CONWAY RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328122705",
            "telephone_number": "407-894-6250",
            "fax_number": "407-898-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 S CONWAY RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328122705",
            "telephone_number": "407-894-6250",
            "fax_number": "407-898-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN H. JACQUOT DDS PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "JACQUOT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "407-894-6250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN13135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surgical Licensed Ward Partners LLP
• Michelle Suriel, APRN
• Suhei Nesmar Suro
• Jaya N. Surujdyal, D.O.
• Susan Addis PHD PA
• Rose Susel
• Bradley Sushko, RN
• J Richard Susi, DO
• Laura Kathleen Susi, MD
• Thomas Tony Susi Jr.

• General Practice Dentistry in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.