Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MELISA SUSANTO, DDS
ActiveMELISA SUSANTO, DDS is a Pediatric Dentistry healthcare provider located in PUYALLUP, Washington. NPI 1396044517 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · PUYALLUP, WA
Registration Details
- NPI Number
- 1396044517
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 28, 2011 (15.196649582102 yrs)
- Last Updated
- Jul 28, 2014
- Licenses
-
2901020349 (MI)DE60481607 (WA)
Practice Information
- Address
-
16810 MERIDIAN ESUITE J104PUYALLUP, WA, 983759604Browse WA providers · Browse ZIP 98375
- Phone
- 6262412669
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in PUYALLUP, WA
| Name | Credential | NPI |
|---|---|---|
| DR. STUART G HERSEY | D.D.S., M.S.D. | 1760482392 |
| KEVIN H SAKAI | DDS | 1043346851 |
| DR. ELLEN POLSKY | DDS. | 1174791529 |
| DR. MICHELLE S. CHUNG | DMD | 1902152713 |
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.