Susan Guirguis, DDS
Individual provider Active NPI General Practice Dentistry · Duluth, MN
NPI 1740346808 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1740346808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D11559 (MN)
- Practice address
- 2710 Piedmont Ave
Duluth, MN 55811-2936 - Phone
- (218) 525-5100
- NPI assigned
- Dec 30, 2006
- 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 |
|---|---|---|---|
| D11559 | MN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Childrens Dental Care PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D11559 | MN | Yes |
Addresses
Primary practice location
2710 Piedmont Ave
Duluth, MN 55811-2936
Mailing address
2710 Piedmont Ave
Duluth, MN 55811-2936
Phone (218) 525-5100
Other providers in Duluth, MN
- Teresa J. Guerrero
- Kaitlyn Jade Guertin Wilson
- Guided Transitions LLC
- Anthony C Guidone
- Rami Guirguis
- Benita Gusaas-Goodwin
- Bonnie M Gustafson
- Emily Gustafson
- Felicia Marie Gustafson
- Rebel K Gustafson
All providers in Duluth, MN · General Practice Dentistry in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.