Susan Leake Shoults in Pascagoula - Dentist
Susan Leake Shoults - NPI 1427174135
Susan Leake Shoults is a Dentist in Pascagoula, Mississippi. Susan Leake Shoults practices all healthcare services and medical treatments related to Dentist. The NPI Number for Susan Leake Shoults is 1427174135. The last update date is 2007-07-08.
Susan Leake Shoults's current location address is 2910 Melton Ave, Pascagoula, Mississippi. You can contact this provider via phone number 2287629250 and fax number 2287621785. The mailing address for Susan Leake Shoults is 2910 Melton Ave, Pascagoula, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Leake Shoults |
|---|---|
| Address | 2910 Melton Ave, Pascagoula, Mississippi |
| Phone Number | 2287629250 |
| Fax Number | 2287621785 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1427174135 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2910 Melton Ave |
|---|---|
| City | Pascagoula |
| State | Mississippi (MS) |
| Post Code | 395814120 |
| Phone Number | 2287629250 |
| Fax Number | 2287621785 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 292396 |
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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 Leake Shoults by the Centers for Medicare & Medicaid Services (CMS)?
The Susan Leake Shoults has been assigned the NPI (National Provider Identifier) 1427174135. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Susan Leake Shoults is geographically located?
The Susan Leake Shoults is physically situated at the following location: 2910 Melton Ave, Pascagoula, MS, 395814120.
What is the Susan Leake Shoults's specialty and taxonomy code?
The Susan Leake Shoults's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1427174135 to Susan Leake Shoults?
The Susan Leake Shoults received its 1427174135 assignment from the Centers for Medicare & Medicaid Services on 2007-03-22.
When was the information pertaining to Susan Leake Shoults most recently updated or revised?
The details related to Susan Leake Shoults, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.