DR. SUZANNE ELIZABETH BIRD DDS MS NPI 1104884774

NPI Information

NPI: 1104884774
Provider Name: DR. SUZANNE ELIZABETH BIRD, DDS, MS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

PECOS Registration: Yes

Address:
16607 RIVERSTONE WAY
SUITE 300
CHARLOTTE, NC
ZIP 28277
Phone: (704) 840-6803
Get Directions

DR. Suzanne Elizabeth Bird, DDS, MS is a pediatric dentistry dentist in Charlotte, NC. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Suzanne Elizabeth Bird, DDS, MS NPI is 1104884774. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16607 RIVERSTONE WAY
SUITE 300
CHARLOTTE, NC
ZIP 28277
Phone: (704) 840-6803
Fax: (704) 544-5003

The NPI 1104884774 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/3/2006 and was last updated on 7/18/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		7109	NORTH CAROLINA	No
2	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	7109	NORTH CAROLINA	No
3	1223P0221X	Dentist	Pediatric Dentistry	7109	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5909061	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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