Andrew John Susuki, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

014819 Issued in MO

Practice address

921 Jungermann Rd
St Peters, MO 63376-3093

Phone

(636) 441-5066

Fax

(636) 441-5066

NPI assigned

Feb 14, 2006

Sex

Male

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

State licenses

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720052160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 JUNGERMANN RD",
            "city": "ST PETERS",
            "state": "MO",
            "postal_code": "633763093",
            "telephone_number": "636-441-5066",
            "fax_number": "636-441-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 JUNGERMANN RD",
            "city": "ST PETERS",
            "state": "MO",
            "postal_code": "633763093",
            "telephone_number": "636-441-5066",
            "fax_number": "636-441-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSUKI",
        "first_name": "ANDREW",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "014819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mazen Y Sultan, DMD
• Ramez Sunna
• Superior Healthcare Physical Medicine of West County, LLC
• Surgeon'S First Choice, L.L.C.
• Terry Aurthur Surtin, D.C.
• Mary Swenson, COTA
• Ryan Anthony Swier, D.C.
• Caitlin Sykes
• Taylor Szekacs, COTA/L
• T.S. Bogusky, D.D.S., P.C.

• General Practice Dentistry in St Peters, MO
• Providers in St Peters, 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 Jul 13, 2026; 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.