SUSAN SUP, DDS

Dentist · GRANTSBURG, WI

Individual Active NPI 1093857799

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Dentist122300000X6001364-15WI
Dentist122300000X1917286IL

Medicare eligibility

Part B
No
DME
Yes
Home health
No
Power mobility
No
Hospice
No

Other Dentist providers in Wisconsin

See all Dentist providers in Wisconsin

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.