# SUZANNE R MEGENITY DDS PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306952643
- **Authorized official:** DR. SUZANNE R MEGENITY DDS (DR)
- **Authorized official phone:** (360) 423-4313

## Contact information

- **Practice address:** 1801 1ST AVENUE SUITE 2A, LONGVIEW, WA 98632
- **Practice address phone:** (360) 423-4313
- **Practice address fax:** (360) 425-1965
- **Mailing address:** 1801 1ST AVENUE SUITE 2A, LONGVIEW, WA 98632
- **Mailing address phone:** (360) 423-4313
- **Mailing address fax:** (360) 425-1965

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | DE00005356 | WA | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 08/22/2020