Susott, Kenton A
Susott, Kenton A is an sole proprietor health care provider with primary practice located at 3916 Shore Dr , Indianapolis IN 46254-2604. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Susott, Kenton A can be contacted via phone (317) 299-9506.Contact Information
Primary practice address
3916 Shore Dr
Indianapolis IN 46254-2604
Phone: (317) 299-9506
Fax: (317) 290-3505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 12006912A | Indiana |
Profile Details
| NPI number | 1821208166 |
|---|---|
| LBN Legal business name | Susott, Kenton A |
| Credentials | DDS, MSD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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