Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSANNE SCHOPPERT WALLENGREN, D.D.S.
ActiveDR. SUSANNE SCHOPPERT WALLENGREN, D.D.S. is a Pediatric Dentistry healthcare provider located in LUTHERVILLE, Maryland. NPI 1932265055 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · LUTHERVILLE, MD
Registration Details
- NPI Number
- 1932265055
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 1, 2007 (19.64923077077 yrs)
- Last Updated
- Jul 25, 2013
- Licenses
-
3351 (NH)12747 (MD)12747 (MD)DS039549 (PA)3351 (NH)
Practice Information
- Address
-
2324 WEST JOPPA RDSUITE 430LUTHERVILLE, MD, 21093Browse MD providers · Browse ZIP 21093
- Phone
- 4103210200
- Fax
- 4108251159
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Dentist
- Additional Specialty
- Pediatric Dentistry
- Additional Specialty
- Pediatric Dentistry
- Additional Specialty
- Pediatric 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.