Susan K Oles DMD PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D3823 Issued in AZ

Legal business name

SUSAN K OLES DMD PLLC

Practice address

4611 E Shea Blvd
Suite 110
Phoenix, AZ 85028-4254

Phone

(602) 840-2190

Fax

(602) 808-0820

NPI assigned

Dec 17, 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 Kathryn Oles, DMD

Title

Dentist

Phone

(602) 840-2190

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 Kathryn Semain Oles, DMD

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1760524169
  NPD (past)

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1497058143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 E SHEA BLVD",
            "address_2": "SUITE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284254",
            "telephone_number": "602-840-2190",
            "fax_number": "602-808-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 E SHEA BLVD",
            "address_2": "SUITE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284254",
            "telephone_number": "602-840-2190",
            "fax_number": "602-808-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN K OLES DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "OLES",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "602-840-2190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D3823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harrison Surprise
• Tahonna Latreise Surrell, MS
• Surrender Wellness Center
• Kiran Suryadevara
• Susan del Sordi Staats, DO PLLC
• Sierra Susha
• Wendy Susi, RN
• Crystal Susko
• Dianna Suslo
• Stephanie A Susman, DMD

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.