Individual
DR. SUZANNE ELIZABETH BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
16607 RIVERSTONE WAY, SUITE 300, CHARLOTTE, NC 28277
(704) 840-6803
(704) 544-5003
Mailing address
16607 RIVERSTONE WAY, SUITE 300, CHARLOTTE, NC 28277
(704) 840-6803
(704) 544-5003
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7109
NC
1223P0221X
Pediatric Dentistry
Primary
7109
NC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
7109
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5909061
—
NC
Enumeration date
05/03/2006
Last updated
07/18/2013
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