Susan Alexander, DMD, PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

010295 Issued in GA

Legal business name

SUSAN ALEXANDER, DMD, PC

Practice address

3020 Roswell Rd Ste 130
Marietta, GA 30062-4987

Phone

(770) 509-2310

Fax

(770) 993-5987

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Susan Alexander, D.M.D.NPI 1104084235

Title

President

Phone

(770) 509-2310

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 Patricia Alexander, DMD

  • Periodontics
  • Marietta, GA
  • NPI 1104084235
  NPD (past) Authorized official

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992847610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 ROSWELL RD STE 130",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624987",
            "telephone_number": "770-509-2310",
            "fax_number": "770-993-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 ROSWELL RD STE 130",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624987",
            "telephone_number": "770-509-2310",
            "fax_number": "770-993-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN ALEXANDER, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-509-2310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "010295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sure Access Healthcare Services LLC
• Anand W Suresh, D.M.D., M.S.D.
• Surgical Arts, P.C
• Surgical First Assistants, Inc.
• Surgical Services
• Susan H Starr DC, PC
• Mackenzie Suttles
• Andrew Everett Sutton, M.D.
• Kristen Wheeles Sutton, PHARMD
• Svathi Reddy MD, L.L.C.

• Periodontics in Marietta, GA
• Providers in Marietta, GA by specialty
• Periodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.