Susan Mackenzie Lloyd, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0013323 Issued in FL

Practice address

5100 S Clyde Morris Blvd
Suite 200
Port Orange, FL 32127-2911

Phone

(386) 304-2799

Fax

(386) 304-2785

NPI assigned

May 7, 2007

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

Other names 1

• Dr. Susan Mackenzie Professional name

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1861605941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 S CLYDE MORRIS BLVD",
            "address_2": "SUITE 200",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321272911",
            "telephone_number": "386-304-2799",
            "fax_number": "386-304-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 S CLYDE MORRIS BLVD",
            "address_2": "SUITE 200",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321272911",
            "telephone_number": "386-304-2799",
            "fax_number": "386-304-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLOYD",
        "first_name": "SUSAN",
        "middle_name": "MACKENZIE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0013323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "MACKENZIE",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Zachary Lindeman
• Carolyn Lipphardt
• Tracey Lea Liput
• Abby Little
• Gary Robert Llewellyn
• John D Lockenour, DC
• Adriana Maria Lopez Soto, DC
• Elizabeth Lopez, RBT
• Errol Lopez
• Ruben J Lopez, MD

• General Practice Dentistry in Port Orange, FL
• Providers in Port Orange, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.