# DR. SUSANNE O. CORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1609950518
- **Gender:** F
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2392-88 | MS | — |
| 1223G0001X | General Practice Dentistry | 4924 | LA | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 06/23/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00060246 | — | MS |