John M. Sushko, DDS

General Practice Dentistry · Birmingham, MI

Individual Active NPI

NPI number 1194951699

Practice location

720 N Old Woodward Ave Ste 201
Birmingham, MI 48009-1342
Phone
(248) 644-5735

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NPI record

NPI
1194951699
Entity type
Individual (Type 1)
Enumeration date
June 10, 2009
Last updated
June 10, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 0103010 MI

About Dr. Sushko

John M. Sushko, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 720 N Old Woodward Ave Ste 201, Birmingham, MI 48009-1342. The NPI number 1194951699 was assigned on June 10, 2009 and the record was last updated on June 10, 2009.

Dr. Sushko lists a license in the registry: #0103010 (MI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John M. Sushko, DDS?

The NPI number is 1194951699.

What is the phone number of Dr. Sushko?

The phone number listed for the practice location is (248) 644-5735.

Where is Dr. Sushko located?

720 N Old Woodward Ave Ste 201, Birmingham, MI 48009-1342.

What is the taxonomy code for Dr. Sushko?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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