Kenton A Susott in Indianapolis - Orthodontics And Dentofacial Orthopedics
Kenton A Susott - NPI 1821208166
Kenton A Susott is a Orthodontics And Dentofacial Orthopedics in Indianapolis, Indiana. Kenton A Susott practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Kenton A Susott is 1821208166. The last update date is 2007-07-08.
Kenton A Susott's current location address is 3916 Shore Dr, Indianapolis, Indiana. You can contact this provider via phone number 3172999506 and fax number 3172903505. The mailing address for Kenton A Susott is 3916 Shore Dr, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenton A Susott |
|---|---|
| Address | 3916 Shore Dr, Indianapolis, Indiana |
| Phone Number | 3172999506 |
| Fax Number | 3172903505 |
| Sole Proprietor | Y |
| Credentials | DDS, MSD |
NPI Number Detail
| NPI Number | 1821208166 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3916 Shore Dr |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462542604 |
| Phone Number | 3172999506 |
| Fax Number | 3172903505 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 12006912A |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Post Comment/ Review Below
What is the Kenton A Susott's 1821208166?
The Kenton A Susott's NPI (National Provider Identifier) Number is 1821208166. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kenton A Susott is physically located?
The Kenton A Susott is physically situated at the following address: 3916 Shore Dr, Indianapolis, IN, 462542604.
What is Kenton A Susott's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kenton A Susott's specialized field of practice is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of specialization is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1821208166 to Kenton A Susott?
The Centers for Medicare & Medicaid Services originally issued the 1821208166 to Kenton A Susott on 2007-05-23.
As of what date were the details related to Kenton A Susott most recently updated or revised?
The information pertaining to Kenton A Susott, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.