Active NPIIndividual provider

Susan D Lo, DMD

Dentist, Pediatric Dentistry in East Boston, Massachusetts

NPI Number1396764601
Practice location
10 Gove St, East Boston, MA 02128-1920
Fax
617-568-4780
Last updated
July 8, 2007

Susan D Lo is a Dentist, Pediatric Dentistry based in East Boston, MA. Susan D Lo practices in East Boston, MA and has the professional credentials of DMD. The NPI Number for Susan D Lo is 1396764601 and holds a License No. 17369 (MA). The current practice location address for Susan D Lo is 10 Gove St, East Boston, MA 02128-1920 and can be reached out via phone at 617-569-5800 and via fax at 617-568-4780.

Provider Profile Details

NPI Number
1396764601
Provider Name
Susan D Lo
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
10 Gove St, East Boston, MA 02128-1920
Phone Number
617-569-5800
Fax Number
617-568-4780
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
No
Provider Enumeration Date
July 18, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Gove St
East Boston, MA 02128-1920
Zip
02128-1920
Phone Number
617-569-5800
Fax Number
617-568-4780
East Boston, MA 02128Get directions →

Provider Business Mailing Address Details

Address
10 Gove St
East Boston, MA 02128-1920
City
East Boston
State
MA
Zip
02128-1920
Phone Number
617-569-5800
Fax Number
617-568-4780

License Information

License Number
17369
License State
MA
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 Susan D Lo, DMD?

The NPI number of Susan D Lo, DMD is 1396764601. It was assigned on July 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Susan D Lo, DMD?

Susan D Lo, DMD is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in MA under license number 17369.

Where does Susan D Lo, DMD practice?

The practice location is 10 Gove St, East Boston, MA 02128-1920. The office can be reached at 617-569-5800 (phone) or 617-568-4780 (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 1396764601 directly on the NPPES registry website.

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