SUSAN SUP, DDS
Dentist · GRANTSBURG, WI
Individual Active NPI 1093857799
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Dentist | 122300000X | ✓ | 6001364-15 | WI |
| Dentist | 122300000X | 1917286 | IL |
Medicare eligibility
- Part B
- No
- DME
- Yes
- Home health
- No
- Power mobility
- No
- Hospice
- No
Other Dentist providers in Wisconsin
- NPI 1710048202
- NPI 1174132591
- NPI 1164176061
- NPI 1912252123
- NPI 1962938605
- NPI 1457715716
- NPI 1790211050
- NPI 1114802790
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.