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Dr. Suzanne U McCormick, MS, DDS

Dentist, Oral and Maxillofacial Surgery in Encinitas, CA. Individual provider (NPI-1).

NPI number1962554428
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1962554428
Entity type
Individual (NPI-1)
Name
Dr. Suzanne U McCormick
Credential
MS, DDS
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 17, 2007
Last updated
Jul 8, 2007

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 codeDescriptionLicenseStatePrimary
1223S0112X Dentist, Oral and Maxillofacial Surgery50704CAYes
1223S0112X Dentist, Oral and Maxillofacial Surgery042762NY
1223S0112X Dentist, Oral and Maxillofacial Surgery2867WV

Practice location

355 Santa Fe Dr
Suite100
Encinitas, CA 92024-5132

Phone 760-753-5300

Mailing address

355 Santa Fe Dr
Suite100
Encinitas, CA 92024-5132

Phone 760-753-5300

Is something wrong?

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.

Other Oral and Maxillofacial Surgery (Dentist) providers in Encinitas, CA

All 8 Oral and Maxillofacial Surgery (Dentist) providers in Encinitas · All 2,508 providers in Encinitas

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