Dr Susan Joy Perotka, DMD is a
Dentist based in Springfield, Maryland. Dr Susan Joy Perotka is licensed to practice in Missouri (license number 15224) and her current practice location is
3111 South Kimbrough Avenue, Springfield, Maryland. She can be reached at her office (for appointments etc.) via phone at
(417) 887-5661.
NPI number for Dr Susan Joy Perotka is 1568535912 and her current mailing address is 3111 South Kimbrough Avenue, Springfield, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568535912.
Healthcare Provider's Profile
Full Name | Dr Susan Joy Perotka |
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Gender | Female |
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Speciality | Dentist |
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Location | 3111 South Kimbrough Avenue, Springfield, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568535912
- Provider Enumeration Date: 11/15/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Susan Joy Perotka such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568535912 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 15224 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Susan Joy Perotka is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Susan Joy Perotka, DMD 3111 South Kimbrough Avenue, Springfield, MD 65807-5011 Ph: (417) 887-5661 | Dr Susan Joy Perotka, DMD 3111 South Kimbrough Avenue, Springfield, MD 65807-5011 Ph: (417) 887-5661 |
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