Individual
DR. JON W SUSOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
215 EAST MAIN STREET, WESTFIELD, IN 46074
(317) 896-5353
(317) 867-2315
Mailing address
215 EAST MAIN STREET, WESTFIELD, IN 46074
(317) 896-5353
(317) 867-2315
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12008521A
IN
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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