DR. PETER B. SUSANIN (NPI# 1528191657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528191657 |
| Entity Type | Individual |
| Full Name | DR. PETER B. SUSANIN |
| Credential | DDS |
| Practice Address |
227 W Lancaster Ave Devon PA 19333-1555 |
| Practice Telephone | 6106870339 |
| Mailing Telephone | 6106870339 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DS025547L | PA | Dental Providers |
| Street Address |
227 W LANCASTER AVE |
| City | DEVON |
| State | PA |
| Zip Code | 19333-1555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013962323 | Bioesthetic Dentistry, Inc | Dentist | 227 W Lancaster Ave, Suite 201, Devon, PA 19333-1555 | 2006-05-24 |
| 1285150003 | Blaire Stoveld | Dentist | 227 W Lancaster Ave, Devon, PA 19333-1555 | 2017-08-15 |
| 1194253146 | Rachel Lisa Lewin | Dentist | 227 W Lancaster Ave, Devon, PA 19333-1555 | 2017-06-02 |
| 1699904284 | Ericka Klein, Dmd PC | Dentist | 227 W Lancaster Ave, Devon, PA 19333-1555 | 2009-07-06 |
| 1457569824 | Ericka Klein Freemann | Dentist | 227 W Lancaster Ave, Suite 201, Devon, PA 19333-1555 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629424601 | Hcr Manorcare | Clinic/Center | 235 E Lancaster Ave, Devon, PA 19333 | 2016-05-10 |
| 1528444353 | Erin Heemann | Counselor | 237 West Lancaster Ave., Devon, PA 19333 | 2015-08-04 |
| 1790184596 | Dine Monte Nido, LLC | Specialist | 237 East Lancaster Ave, Devon, PA 19333 | 2014-08-18 |
| 1902155088 | Theresa Grass | Occupational Therapist | 445 N. Valley Forge Road, Devon, PA 19333 | 2012-09-05 |
| 1033393707 | Goodsir Chiropractic Center Inc. | Chiropractor | 45 Berkley Rd., Devon, PA 19333 | 2007-12-18 |
| 1144417759 | Daniel T Rubino Md PC | Specialist | 176 East Conestoga Road, Devon, PA 19333 | 2007-09-27 |
| 1871783050 | Paul Leroy Anderson Jr. | Dentist | 882 Lancaster Ave, Devon, PA 19333 | 2007-07-25 |
| 1245369297 | Elyse S. Rubenstein | Psychologist | 185 Ladderback Ln., Devon, PA 19333 | 2007-03-05 |
| 1407998255 | D Katherine K Krentel | Registered Nurse | 237 Lancaster Ave, Kairos Counseling Services Suite 215, Devon, PA 19333 | 2007-02-12 |
| 1275606949 | Linda K Himmelberger | Dentist | 227 Lancaster Ave, Devon, PA 19333 | 2006-11-17 |
| Find all providers in zip 19333 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471913 | Martin L. Supowitz, Dmd, Msd, LLC | Dentist | 5433 Walnut St Ste 200, Pittsburgh, PA 15232-3215 | 2020-09-11 |
| 1780239228 | Hatboro Dental & Specialty LLC | Dentist | 122 N York Rd Ste 2, Hatboro, PA 19040-2622 | 2019-08-01 |
| 1679125835 | Amanda Marie Clemente | Dentist | 3501 Terrace St # B89, Pittsburgh, PA 15213-2523 | 2019-07-09 |
| 1235792458 | Fany Briseyda Ocampo | Dentist | 2137 Welsh Rd Ste 2a, Philadelphia, PA 19115-4963 | 2019-04-15 |
| 1043771447 | Kara Deanne Dragone | Dentist | 8890 Royal Manor Dr Apt 302, Allison Park, PA 15101-2783 | 2019-03-27 |
| 1801356423 | Nicholas Anzur | Dentist | 4225 Trindle Rd, Camp Hill, PA 17011-5752 | 2019-03-20 |
| 1992261036 | Manal Sabir | Dentist | 2200 Benjamin Franklin Pkwy Apt S1603, Philadelphia, PA 19130-3618 | 2019-02-13 |
| 1699242024 | Michael S Ayes Dds and Associates Pennsylvania Vi, PC | Dentist | 70 Buckwalter Rd Ste 309, Royersford, PA 19468-1846 | 2018-10-24 |
| 1043736051 | Miriam Ting | Dentist | 250 W Lancaster Ave Ste 215, Paoli, PA 19301-1751 | 2017-08-21 |
| 1104378611 | Natalie Amoa | Dentist | 8021b Castor Ave, Philadelphia, PA 19152-2733 | 2016-10-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. PETER B. SUSANIN.
| 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.