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SUSAN A SHEETS DDS A PROFESSIONAL DENTAL CORPORATION NPI 1922488352


NPI Information

NPI: 1922488352
Provider Name: SUSAN A SHEETS DDS A PROFESSIONAL DENTAL CORPORATION
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
2515 S WESTERN AVE
STE 109
SAN PEDRO, CA
ZIP 90732
Phone: (310) 832-2657
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SUSAN A SHEETS DDS A PROFESSIONAL DENTAL CORPORATION is a customized equipment durable medical equipment medical supplies in San Pedro, CA. SUSAN A SHEETS DDS A PROFESSIONAL DENTAL CORPORATION NPI is 1922488352. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2515 S WESTERN AVE
STE 109
SAN PEDRO, CA
ZIP 90732-643
Phone: (310) 832-2657
Fax: (310) 832-5164

The provider's authorized official is Susan Sheets .
The authorized official title is Owner and has the following contact phone number (310) 832-2657.

The enumeration date for this NPI number is 6/1/2015 and was last updated on 6/1/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeNo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentYes

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: 4/28/2024

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