# SUSAN M. DENNIS, D.D.S.

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

## Provider details

- **NPI number:** 1598976144
- **Authorized official:** DR. SUSAN M DENNIS D.D.S. (DENTIST)
- **Authorized official phone:** (269) 327-3400

## Contact information

- **Practice address:** 8150 MOORS BRIDGE RD, SUITE A, PORTAGE, MI 49024-7419
- **Practice address phone:** (269) 327-3400
- **Mailing address:** 8150 MOORS BRIDGE RD, SUITE A, PORTAGE, MI 49024-7419
- **Mailing address phone:** (269) 327-3400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12474 | MI | Yes |

## Other

- **Enumeration date:** 05/25/2007
- **Last updated:** 08/22/2020