Susan Perkins Scott, RDH
Individual provider Active NPI Dental Hygienist · Ashburn, GA
NPI 1477854693 · NPPES record last updated Nov 4, 2010
Key facts
- NPI
- 1477854693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 4923 (GA)
- Practice address
- 274 Whittle Cir
Ashburn, GA 31714-1918 - Phone
- (229) 567-4316
- Fax
- (229) 567-9271
- NPI assigned
- Nov 4, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 4923 | GA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher J. White, DDS, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 4923 | GA | Yes |
Addresses
Primary practice location
274 Whittle Cir
Ashburn, GA 31714-1918
Mailing address
274 Whittle Cir
Ashburn, GA 31714-1918
Phone (229) 567-4316
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4923 | Other | GA | STATE OF GEORGIA |
Other providers in Ashburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2010. 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.