Susannah Shook, DMD

General Practice Dentistry · Laurel, MS

Individual Active NPI

NPI number 1629288626

Practice location

3221 Audubon Dr
Laurel, MS 39440-1422
Phone
(601) 649-3900

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NPI record

NPI
1629288626
Entity type
Individual (Type 1)
Enumeration date
May 22, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 3376-06 MS

About Dr. Shook

Susannah Shook, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3221 Audubon Dr, Laurel, MS 39440-1422. The NPI number 1629288626 was assigned on May 22, 2007 and the record was last updated on July 8, 2007.

Dr. Shook lists a license in the registry: #3376-06 (MS) 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 Susannah Shook, DMD?

The NPI number is 1629288626.

What is the phone number of Dr. Shook?

The phone number listed for the practice location is (601) 649-3900.

Where is Dr. Shook located?

3221 Audubon Dr, Laurel, MS 39440-1422.

What is the taxonomy code for Dr. Shook?

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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