# SUSAN L ROYER DDS PROFESSIONAL CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Susan L Royer DDS PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700295771
- **Authorized official:** DR. SUSAN ROYER DDS (OWNER/CEO)
- **Authorized official phone:** (219) 663-4024

## Contact information

- **Practice address:** 9291 E 109TH AVE, CROWN POINT, IN 46307-8676
- **Practice address phone:** (219) 663-4024
- **Mailing address:** 2587 W 65TH AVE, MERRILLVILLE, IN 46410-2833
- **Mailing address phone:** (219) 663-4024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 019022078 | IL | — |
| 261QD0000X | Dental Clinic/Center | 12009289 | IN | Yes |

## Other

- **Enumeration date:** 08/04/2014
- **Last updated:** 08/04/2014