Susan K Anderson, DMD
Individual provider Active NPI General Practice Dentistry · Duluth, GA
NPI 1962555151 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962555151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 10853 (GA)
- Practice address
- 2925 Premiere Parkway
Suite 165
Duluth, GA 30097 - Phone
- (678) 417-9656
- NPI assigned
- Jan 19, 2007
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson and Anderson DMD PC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10853 | GA | Yes |
Addresses
Primary practice location
2925 Premiere Parkway
Suite 165
Duluth, GA 30097
Mailing address
2925 Premiere Parkway
Suite 165
Duluth, GA 30097
Phone (678) 417-9656
Other providers in Duluth, GA
- Amy Caroline Anderson
- Eric David Anderson
- Eric Michael Anderson
- Kelly Lynn Anderson
- Olivia Faye Anderson
- Lucy Yelka Andia-Naylor
- Joseph Andrews
- Andronica Inc
- Angel Home, Inc.
- Angel Lopez Clinic, Inc.
All providers in Duluth, GA · General Practice Dentistry in Georgia
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.