Susan Sales Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

39736 Issued in CA

Legal business name

SUSAN SALES DENTAL CORPORATION

Practice address

1001 Sneath LN
Ste. 108
San Bruno, CA 94066-2308

Phone

(650) 871-2741

Fax

(650) 871-2781

NPI assigned

May 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Susan Encarnacion Sales, D.D.S.NPI 1023139532

Title

Owner

Phone

(650) 871-2741

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Susan E Sales, DDS

  • General Practice Dentistry
  • San Bruno, CA
  • NPI 1023139532
  NPD (past) Authorized official

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1942468921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SNEATH LN",
            "address_2": "STE. 108",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940662308",
            "telephone_number": "650-871-2741",
            "fax_number": "650-871-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SNEATH LN",
            "address_2": "STE. 108",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940662308",
            "telephone_number": "650-871-2741",
            "fax_number": "650-871-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN SALES DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "SALES",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ENCARNACION",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-871-2741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "39736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xiaotong Sui
• Natsasi Suktaworn
• Keith Edward Sullivan, DPT
• Brianna Summers
• Summit Estate Recovery Centers LLC (Fortitude Recovery IOP)
• Sebastian Farel Sutjipto
• Adam C Swan
• Taylor Sweatt, M.S., BCBA
• Zyania Swenson
• Raymond J Taboada Jr.

• Dental Clinic/Center in San Bruno, CA
• Providers in San Bruno, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.