Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSANNAH MARTHA MITCHELL, DMD
ActiveSUSANNAH MARTHA MITCHELL, DMD is a General Dentistry healthcare provider located in INGRAM, Texas. NPI 1699042655 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · INGRAM, TX
Registration Details
- NPI Number
- 1699042655
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 18, 2011 (14.740221687317 yrs)
- Last Updated
- Apr 22, 2025
- Licenses
-
9121 (KY)24179 (TX)10704 (CO)31661 (TX)
Practice Information
- Address
-
3164 JUNCTION HWY STE W-1INGRAM, TX, 780253194Browse TX providers · Browse ZIP 78025
- Phone
- 8303671171
- Fax
- 8303671173
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- Dentist
- Additional Specialty
- Dentist
- Additional Specialty
- General Dentistry
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.