Suzanne Degnen DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

014734 Issued in MO

Legal business name

SUZANNE DEGNEN DMD PC

Practice address

11870 Gravois Rd
Saint Louis, MO 63127-1800

Phone

(314) 849-5600

Fax

(314) 849-1139

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Suzanne Degnen Depenaloza, DMD

Title

President

Phone

(314) 849-5600

Specialties & licenses 1

Addresses

Other names 1

• Sunset Tower Family Dentistry Doing business as

Locations

Practitioners 2

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

• Danute Balciunas, DDS

  • General Practice Dentistry
  • Saint Louis, MO
  • NPI 1649494162
  NPD (past)
• Suzanne Degnen, DMD

  • General Practice Dentistry
  • Saint Louis, MO
  • NPI 1902009947
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578620357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11870 GRAVOIS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271800",
            "telephone_number": "314-849-5600",
            "fax_number": "314-849-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11870 GRAVOIS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271800",
            "telephone_number": "314-849-5600",
            "fax_number": "314-849-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE DEGNEN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEPENALOZA",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "DEGNEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-849-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "014734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunset Tower Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Anne Sutton, MD
• Marcelline Sutton
• Priyanka Suvarna
• Ruenrudee Suwannasri, MD
• Anna Christina Suydam, MD
• Bridgette Blythe Svancarek, MD
• Marion F Svendrowski, MD
• Vladislav Sviderskiy
• James D Svihra, MSW
• Dragan M Svrakic, MD

• General Practice Dentistry in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• General Practice Dentistry in Missouri

• 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.