Armstrong, Susan Adele

Armstrong, Susan Adele is an sole proprietor health care provider with primary practice located at 9 E Main St , Moorestown NJ 08057-3382. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Armstrong, Susan Adele can be contacted via phone (856) 235-0415.

Contact Information

Primary practice address
9 E Main St Moorestown NJ 08057-3382
Fax: (856) 235-4787
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DS036117 Pennsylvania
Dental Providers / Pediatric Dentistry 1223P0221X 22DI02197700 New Jersey

Profile Details

NPI number 1063406403
LBN Legal business name Armstrong, Susan Adele
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2005
Last updated Jan 15th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063406403 NPPES
Pennsylvania MEDICAID 101201070

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