Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN M WELLMAN, DMD
DeactivatedSUSAN M WELLMAN, DMD is a Dentist healthcare provider located in CRESCENT CITY, California. NPI 1033272406 is deactivated in the NPPES registry. Verify at CMS.
Dentist · CRESCENT CITY, CA
This NPI has been deactivated.
The record was deactivated on July 17, 2007.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1033272406
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 18, 2006 (0.57808219178082 yrs)
- Last Updated
- Dec 15, 2011
- Deactivated
- Jul 17, 2007
- Licenses
-
DN14964 (FL)54472 (CA)
Practice Information
- Address
-
550 E WASHINGTON AVESUITE 100CRESCENT CITY, CA, 95531Browse CA providers · Browse ZIP 95531
- Phone
- 7074654636
- Fax
- 7074651983
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in CRESCENT CITY, CA
| Name | Credential | NPI |
|---|---|---|
| DR. FRED CARLTON WARD | DDS | 1427102904 |
| DR. ROGER LEE WAKEMAN | DDS | 1124167275 |
| MOJGAN ARSHI | — | 1770607160 |
| DR. THOMAS CHANEZ | D.D.S. | 1184743478 |
| DR. SUSAN KAY AJIMINE | D.D.S. | 1669595674 |
| DWIGHT GERALD JONES | DDS | 1104040864 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.