Individual
DR. SUSAN H SHEETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2436 MYRA DRIVE, CAPE GIRARDEAU, MO 63703
(573) 334-9334
(573) 334-2780
Mailing address
2436 MYRA DRIVE, CAPE GIRARDEAU, MO 63703
(573) 334-9334
(573) 334-2780
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
13360
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
831799
UNITED CONCORDIA INS ID
MO
Enumeration date
09/06/2006
Last updated
07/09/2007
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