Dr. Suzanne Elizabeth Bird, DDS, MS
Dentist, Pediatric Dentistry in Charlotte, NC. Individual provider (NPI-1).
NPI number1104884774
StatusActive
Last updated in NPPESJul 18, 2013
Details
- NPI
- 1104884774
- Entity type
- Individual (NPI-1)
- Name
- Dr. Suzanne Elizabeth Bird
- Credential
- DDS, MS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 3, 2006
- Last updated
- Jul 18, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - ORAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 7109 | NC | Yes |
| 122300000X | Dentist | 7109 | NC | |
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 7109 | NC |
Other names
- Suzanne Bird Davis (Former Name)
Practice location
16607 Riverstone WaySuite 300
Charlotte, NC 28277
Phone 704-840-6803 · Fax 704-544-5003
Mailing address
16607 Riverstone WaySuite 300
Charlotte, NC 28277
Phone 704-840-6803 · Fax 704-544-5003
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 78 Pediatric Dentistry providers in Charlotte · All 32,379 providers in Charlotte
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