Susan Sandstrom Guest, D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2901019085 Issued in MI

Practice address

42287 Cherry Hill Rd Ste a
Canton, MI 48188-1976

Phone

(734) 981-2444

Fax

(734) 981-5645

NPI assigned

Oct 27, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nolan and Guest Orthodontics PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Canton, MI
  • NPI 1679900021
  NPD (past)

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1508318304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42287 CHERRY HILL RD STE A",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481881976",
            "telephone_number": "734-981-2444",
            "fax_number": "734-981-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42287 CHERRY HILL RD STE A",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481881976",
            "telephone_number": "734-981-2444",
            "fax_number": "734-981-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEST",
        "first_name": "SUSAN",
        "middle_name": "SANDSTROM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,  M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901019085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bhagya Lakshmi Gummadi

• Orthodontics and Dentofacial Orthopedics Dentistry in Canton, MI
• Providers in Canton, MI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.