Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN J SUP, DDS
ActiveSUSAN J SUP, DDS is a Dentist healthcare provider located in GRANTSBURG, Wisconsin. NPI 1093857799 is currently active in the NPPES registry. Verify at CMS.
Dentist · GRANTSBURG, WI
Registration Details
- NPI Number
- 1093857799
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 12, 2007 (19.480250822817 yrs)
- Last Updated
- Oct 1, 2025
- Licenses
-
1917286 (IL)6001364-15 (WI)
Practice Information
- Address
-
302 S PINE STGRANTSBURG, WI, 548407930Browse WI providers · Browse ZIP 54840
- Phone
- 3156572719
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in GRANTSBURG, WI
| Name | Credential | NPI |
|---|---|---|
| ABELARDO VALDES | DDS | 1710048202 |
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.