DR. SUSAN ELLEN VICKERS (NPI# 1225004195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225004195 |
| Entity Type | Individual |
| Full Name | DR. SUSAN ELLEN VICKERS |
| Credential | DMD,MS |
| Practice Address |
6512a Deer Pointe Dr Salisbury MD 21804-1669 |
| Mailing Address |
29913 Winchester Ct Salisbury MD 21804-2401 |
| Practice Telephone | 4107490009 |
| Mailing Telephone | 4103346632 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2017-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
12543 | MD | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
12543 | MD | Dental Providers |
| Street Address |
6512A DEER POINTE DR |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804-1669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125969 | Lifes Energy Wellness Center Inc. | Community/Behavioral Health | 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 | 2019-07-05 |
| 1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
| 1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
| 1356904874 | Carly Showell Finkbeiner | Behavioral Analyst | 30507 Foxchase Dr, Salisbury, MD 21804 | 2019-04-19 |
| 1750844940 | Clifton Waters | Driver | 206 Davis St, Salisbury, MD 21804 | 2019-04-13 |
| 1487125415 | Rebecca J. Raygor | Social Worker | Wicomico High School, 201 Long Ave., Salisbury, MD 21804 | 2018-12-17 |
| 1639662745 | Peninsula Physical Therapy, LLC | Physical Therapist | 720 E College Ave Ste 11, Salisbury, MD 21804 | 2018-06-13 |
| 1376079533 | Kerry Choplin | Behavior Technician | 8032 Snow Hill Rd., Salisbury, MD 21804 | 2017-05-10 |
| 1558892992 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1647 Woodbrooke Drive, Salisbury, MD 21804 | 2017-03-27 |
| 1508304759 | Driven Physiotherapy, LLC | Clinic/Center | 1029 Zircon Ct., Salisbury, MD 21804 | 2017-02-08 |
| Find all providers in zip 21804 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| 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 related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144401969 | Carrie L Schwartz | Dentist | 31454 Winterplace Pkwy, Salisbury, MD 21804-1891 | 2007-11-20 |
| 1871714196 | Drs Busby and Webb, Pa | Dentist | 203 Mocksville Avenue, Suite A, Salisbury, NC 28144 | 2007-05-02 |
| 1093936098 | William W Webb IIi | Dentist | 203a Mocksville Ave, Salisbury, NC 28144-3325 | 2007-05-01 |
| 1033210380 | Nicholas James Penna D.d.s.,p.a. | Dentist | 1819 Brenner Ave, Salisbury, NC 28144-2519 | 2006-09-26 |
| 1780695460 | Kevin Joseph Showfety | Dentist | 1607 Old Concord Road, Salisbury, NC 28146-1354 | 2006-08-10 |
| 1669454633 | James Michael Crouse | Dentist | 1413 Wesley Dr, Salisbury, MD 21801-7130 | 2005-11-16 |
| 1710976576 | Stewart Ira Perim | Dentist | 1505 S Salisbury Blvd, Salisbury, MD 21801-7128 | 2005-10-14 |
| 1346417482 | John Michael Tilghman | Dentist | 1324 Belmont Ave, Suite 104, Salisbury, MD 21804-4543 | 2008-05-08 |
| 1457533325 | James M. Crouse, Dds, Pa | Dentist | 1413 Wesley Dr, Salisbury, MD 21801-7130 | 2007-12-03 |
| 1841484938 | Norman Nakaji | Dentist | 2440 Statesville Blvd, Suite110, Salisbury, NC 28147-7128 | 2007-08-31 |
| Find all providers in SALISBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.