Susan L Royer DDS Professional Corporation

Clinic/Center, Dental in Crown Point, IN. Organization (NPI-2).

NPI number1700295771

StatusActive

Last updated in NPPESAug 4, 2014

Details

NPI: 1700295771
Entity type: Organization (NPI-2)
Legal business name: Susan L Royer DDS Professional Corporation
Organization subpart: No
Enumeration date: Aug 4, 2014
Last updated: Aug 4, 2014

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
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
261QD0000X	Clinic/Center, Dental	12009289	IN	Yes
261QD0000X	Clinic/Center, Dental	019022078	IL

Other names

Susan L Royer DDS PC (Doing Business As)

Practice location

9291 E 109th Ave
Crown Point, IN 46307-8676

Phone 219-663-4024

Mailing address

2587 W 65th Ave
Merrillville, IN 46410-2833

Phone 219-663-4024

Authorized official

Susan Royer
Owner/Ceo
2196634024

Is something wrong?

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Other Dental Clinic/Center providers in Crown Point, IN

All 9 Dental Clinic/Center providers in Crown Point · All 1,805 providers in Crown Point

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