Peter B. Susanin, DDS

Periodontics · Devon, PA

Individual Active NPI

NPI number 1528191657

Practice location

227 W Lancaster Ave
Devon, PA 19333-1555
Phone
(610) 687-0339

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NPI record

NPI
1528191657
Entity type
Individual (Type 1)
Enumeration date
March 14, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X DS025547L PA

About Dr. Susanin

Peter B. Susanin, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 227 W Lancaster Ave, Devon, PA 19333-1555. The NPI number 1528191657 was assigned on March 14, 2007 and the record was last updated on July 8, 2007.

Dr. Susanin lists a license in the registry: #DS025547L (PA) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Peter B. Susanin, DDS?

The NPI number is 1528191657.

What is the phone number of Dr. Susanin?

The phone number listed for the practice location is (610) 687-0339.

Where is Dr. Susanin located?

227 W Lancaster Ave, Devon, PA 19333-1555.

What is the taxonomy code for Dr. Susanin?

The primary taxonomy code is 1223P0300X – Periodontics.

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.