Individual
DR. SUSAN S. ALTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
419 TOWN MOUNTAIN RD, SUITE 200, PIKEVILLE, KY 41501-1631
(606) 437-4848
Mailing address
419 TOWN MOUNTAIN RD, SUITE 200, PIKEVILLE, KY 41501-1631
(606) 437-4848
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6195
KY
1223G0001X
General Practice Dentistry
Primary
6195
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4500355500
—
KY
05
—
60061959
—
KY
Enumeration date
07/16/2006
Last updated
02/07/2012
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