Susan J Sup is a Dentist in Wheaton, Illinois. Susan J Sup practices all healthcare services and medical treatments related to Dentist. The NPI Number for Susan J Sup is 1093857799. The last update date is 2007-07-08.
Susan J Sup's current location address is 200 East Willow, Wheaton, Illinois. You can contact this provider via phone number 6306657400 and fax number 6306653646. The mailing address for Susan J Sup is 200 East Willow, Wheaton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan J Sup |
|---|---|
| Address | 200 East Willow, Wheaton, Illinois |
| Phone Number | 6306657400 |
| Fax Number | 6306653646 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1093857799 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 200 East Willow |
|---|---|
| City | Wheaton |
| State | Illinois (IL) |
| Post Code | 601875445 |
| Phone Number | 6306657400 |
| Fax Number | 6306653646 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 1917286 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the unique identifier code issued to Susan J Sup by the Centers for Medicare & Medicaid Services?
The Susan J Sup has been assigned the NPI (National Provider Identifier) 1093857799. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Susan J Sup is physically located?
The Susan J Sup is situated at the following address: 200 East Willow, Wheaton, IL 601875445.
What is Susan J Sup's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Susan J Sup is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
When did the Susan J Sup receive its 1093857799?
The Susan J Sup was issued its 1093857799 on 2007-02-12, which is the date when the organization was assigned this unique identifier.
When was the information regarding Susan J Sup most recently updated?
The details pertaining to the Susan J Sup, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.