Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSAN H JAQUES, DMD
ActiveDR. SUSAN H JAQUES, DMD is a General Dentistry healthcare provider located in HOLLY HILL, South Carolina. NPI 1568575363 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · HOLLY HILL, SC
Registration Details
- NPI Number
- 1568575363
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 16, 2006 (20.000015708998 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2538 (SC)
Practice Information
- Address
-
303 BURCH FORD RDHOLLY HILL, SC, 29059Browse SC providers · Browse ZIP 29059
- Phone
- 8034969012
- Fax
- 8034967054
- 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.