Susan Hudak Boss, D.M.D., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0014104 Issued in FL

Legal business name

SUSAN HUDAK BOSS, D.M.D., P.A.

Practice address

9160 Oakhurst Rd
Suite # 2
Seminole, FL 33776-2157

Phone

(727) 595-4525

Fax

(727) 596-4161

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Susan Elizabeth Hudak Boss, D.M.D.

Title

President

Phone

(727) 595-4525

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Elizabeth Hudak, D.M.D.

  • General Practice Dentistry
  • Seminole, FL
  • NPI 1427186840
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376671701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9160 OAKHURST RD",
            "address_2": "SUITE # 2",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337762157",
            "telephone_number": "727-595-4525",
            "fax_number": "727-596-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9160 OAKHURST RD",
            "address_2": "SUITE # 2",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337762157",
            "telephone_number": "727-595-4525",
            "fax_number": "727-596-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN HUDAK BOSS, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUDAK BOSS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-595-4525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0014104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Seminole, FL
• Providers in Seminole, 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 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.