Ferreira-Susin, Lisiane

Ferreira-Susin, Lisiane is an individual health care provider with primary practice located at 1430 John Wesley Gilbert Drive Gc-1024, Augusta GA 30912-1001. She recently has only one registered license in Dental Providers / Endodontics, which is considered as her primary health care specialty. Ferreira-Susin, Lisiane can be contacted via phone (706) 721-4225.

Contact Information

Primary practice address
1430 John Wesley Gilbert Drive Gc-1024 Augusta GA 30912-1001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X DNF000358 Georgia

Profile Details

NPI number 1407152218
LBN Legal business name Ferreira-Susin, Lisiane
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2011
Last updated Dec 8th, 2016 - about 8 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 1407152218 NPPES
South Carolina MEDICAID ZG0358

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