Diane A. Suda
Endodontist
200 Springs Rd Bedford Veterans Affairs Medical Center, Dental
Bedford
, Massachusetts 01730-1114
Diane A. Suda
Endodontist
200 Springs Rd Bedford Veterans Affairs Medical Center, Dental
Bedford
, Massachusetts 01730-1114
(781) 687-2000
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Diane A. Suda
- 200 Springs Rd Bedford Veterans Affairs Medical Center, Dental
- Bedford, MA
- Zip : 01730-1114
- Phone : (781) 687-2000
Second Address
- Diane A. Suda
- 200 Springs Rd Bedford Veterans Affairs Medical Center, Dental
- Bedford, MA
- Zip : 01730-1114
- Phone : (781) 687-2000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 15653 | MA |
National Provider Identifier
| NPI | 1083683643 |
|---|---|
| Provider Name | Diane A. Suda |
| First Address | Bedford, MA 01730-1114 |
| Second Address | Bedford, MA 01730-1114 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/03/2006 |
| Last Update Date | 08/08/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| PH148 | HARVARD PILGRIM (01) | MA |
| V06040 | BCBS - DENTAL (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.