Suh, Jeannette E

Suh, Jeannette E is an individual health care provider with primary practice located at 30 Audrey Ln Suite A, Oxon Hill MD 20745-1301. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Suh, Jeannette E can be contacted via phone (301) 567-5437.

Contact Information

Primary practice address
30 Audrey Ln Suite A Oxon Hill MD 20745-1301
Phone: (301) 567-5437
Fax: (301) 567-5456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 14582 Maryland
Dental Providers / General Practice 1223G0001X 14582 Maryland
Dental Providers / General Practice 1223G0001X DEN1001064 District of Columbia
Dental Providers / General Practice 1223G0001X 0401412954 Virginia

Profile Details

NPI number 1023325958
LBN Legal business name Suh, Jeannette E
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2010
Last updated Jun 12th, 2014 - about 12 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 1023325958 NPPES
Maryland MEDICAID 1023325958
Maryland MEDICAID 1023325958
Maryland MEDICAID 043275300

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