Bird, Suzanne Elizabeth
Bird, Suzanne Elizabeth is an individual health care provider with primary practice located at 16607 Riverstone Way Suite 300, Charlotte NC 28277. She recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Pediatric Dentistry is her primary health care specialty. Bird, Suzanne Elizabeth can be contacted via phone (704) 840-6803.Contact Information
Primary practice address
16607 Riverstone Way Suite 300
Charlotte NC 28277
Phone: (704) 840-6803
Fax: (704) 544-5003
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 7109 | North Carolina |
Dental Providers / Pediatric Dentistry | 1223P0221X | 7109 | North Carolina |
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 7109 | North Carolina |
Profile Details
NPI number | 1104884774 |
---|---|
LBN Legal business name | Bird, Suzanne Elizabeth |
Credentials | DDS, MS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 3rd, 2006 |
Last updated | Jul 18th, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104884774 | NPPES |
North Carolina | MEDICAID | 5909061 |
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