Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSAN PANCOAST EDDLEMAN, D.D.S.
Active Sole ProprietorDR. SUSAN PANCOAST EDDLEMAN, D.D.S. is a General Dentistry healthcare provider located in ROCK PORT, Missouri. NPI 1184610909 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · ROCK PORT, MO
Registration Details
- NPI Number
- 1184610909
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 27, 2005 (20.876434073071 yrs)
- Last Updated
- Jul 8, 2007
- License
-
14169 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
204 S MAIN STROCK PORT, MO, 644821532Browse MO providers · Browse ZIP 64482
- Phone
- 6607445391
- Primary Specialty
-
General Dentistry
1223G0001X
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.