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
Fax: (704) 544-5003
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104884774 NPPES
North Carolina MEDICAID 5909061

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