Susan Cha, DDS
Individual provider Active NPI General Practice Dentistry · Graham, WA
NPI 1770035289 · NPPES record last updated Oct 31, 2016
Key facts
- NPI
- 1770035289
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DE60682796 (WA)
- Practice address
- 10221 198TH St E
Suite 100
Graham, WA 98338-8038 - Phone
- (253) 875-2900
- NPI assigned
- Oct 31, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| DE60682796 | WA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE60682796 | WA | Yes |
Addresses
Primary practice location
10221 198TH St E
Suite 100
Graham, WA 98338-8038
Mailing address
10221 198TH St E
Suite 100
Graham, WA 98338-8038
Phone (253) 875-2900
Other providers in Graham, WA
- Caring With Compassion LLC
- Morgan Gwynne Carpenter
- Shannon Carroll
- Terry Carver
- Yamilex Castro
- John T Chen
- Clark Therapeutic Massage
- Clear Vision Family PLLC
- Clear Vision Optometry, P.S.
- Community Health Care
All providers in Graham, WA · General Practice Dentistry in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2016. 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.