Active NPIIndividual provider

Dr. Susan J Antony, DDS

Dentist, Pediatric Dentistry in Beaverton, Oregon

NPI Number1023028305
Practice location
17675 SW Tualatin Valley Hwy, Beaverton, OR 97006-4443
Fax
503-259-3169
Last updated
July 8, 2007

Susan Jane Antony is a Dentist, Pediatric Dentistry based in Beaverton, OR. Susan Jane Antony practices in Beaverton, OR and has the professional credentials of DDS. The NPI Number for Susan Jane Antony is 1023028305 and holds a License No. D6943 (OR). The current practice location address for Susan Jane Antony is 17675 SW Tualatin Valley Hwy, Beaverton, OR 97006-4443 and can be reached out via phone at 503-259-3160 and via fax at 503-259-3169.

Provider Profile Details

NPI Number
1023028305
Provider Name
Susan Jane Antony
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
17675 SW Tualatin Valley Hwy, Beaverton, OR 97006-4443
Phone Number
503-259-3160
Fax Number
503-259-3169
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
No
Provider Enumeration Date
August 9, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
17675 SW Tualatin Valley Hwy
Beaverton, OR 97006-4443
State
Oregon
Zip
97006-4443
Phone Number
503-259-3160
Fax Number
503-259-3169
Beaverton, OR 97006Get directions →

Provider Business Mailing Address Details

Address
17675 SW Tualatin Valley Hwy
Beaverton, OR 97006-4443
City
Beaverton
State
OR
Zip
97006-4443
Phone Number
503-259-3160
Fax Number
503-259-3169

License Information

License Number
D6943
License State
OR
Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Susan J Antony, DDS?

The NPI number of Dr. Susan J Antony, DDS is 1023028305. It was assigned on August 9, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Susan J Antony, DDS?

Dr. Susan J Antony, DDS is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in OR under license number D6943.

Where does Dr. Susan J Antony, DDS practice?

The practice location is 17675 SW Tualatin Valley Hwy, Beaverton, OR 97006-4443. The office can be reached at 503-259-3160 (phone) or 503-259-3169 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023028305 directly on the NPPES registry website.

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