Ryan J Susek, DMD
Dentist, General Practice in Throop, PA. Individual provider (NPI-1).
NPI number1982166591
StatusActive
Last updated in NPPESApr 2, 2019
Details
- NPI
- 1982166591
- Entity type
- Individual (NPI-1)
- Name
- Ryan J Susek
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2019
- Last updated
- Apr 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DS041921 | PA | Yes |
Practice location
400 Dunmore StThroop, PA 18512-1147
Phone 570-262-0187
Mailing address
400 Dunmore StThroop, PA 18512-1147
Phone 570-262-0187
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