Susan J. Izzo, BSDH

Individual provider Active NPI Dental Hygienist · Perkasie, PA

NPI 1447550686 · NPPES record last updated Oct 21, 2010

Key facts

NPI
1447550686
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
DH-005665L (PA)
Practice address
212 S Perkasie Rd
Perkasie, PA 18944-2454
Phone
(215) 258-5155
NPI assigned
Oct 21, 2010
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

LicenseStateTypeSpecialty
DH-005665LPAMDDental Hygienist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH-005665L PA Yes

Addresses

Primary practice location

212 S Perkasie Rd
Perkasie, PA 18944-2454

Mailing address

212 S Perkasie Rd
Perkasie, PA 18944-2454
Phone (215) 258-5155

Other providers in Perkasie, PA

All providers in Perkasie, PA · Dental Hygienist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.