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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SUSAN GAIL PENNISTON, DDS

Active

DR. SUSAN GAIL PENNISTON, DDS is a Endodontics healthcare provider located in PLYMOUTH, Minnesota. NPI 1447323498 is currently active in the NPPES registry. Verify at CMS.

Endodontics · PLYMOUTH, MN

Registration Details

NPI Number
1447323498
Provider Type
Individual
Gender
Female
NPI Issued
Nov 16, 2006 (19.698139263462 yrs)
Last Updated
Jul 8, 2007
License
10752 (MN)

Practice Information

Address
3401 HIGHWAY 169 N
PLYMOUTH, MN, 554412413
Browse MN providers · Browse ZIP 55441
Phone
7635590859
Fax
7635504356
Primary Specialty
Endodontics
1223E0200X

Other Endodontics Providers in PLYMOUTH, MN

Name Credential NPI
DR. ALEJANDRO MARTIN AGUIRRE D.D.S.,M.S. 1609818186
DR. THOMAS ANDREW KARN DMD, MS 1578638946
DR. BRENT DONALD RUNDQUIST D.D.S. M.S. 1083789572
DR. MARK RICHARD JENSEN D.D.S. 1013082882
DR. MATTHEW DEL MASTRO DMD 1659607653
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.