Dr. Susan Jane Antony
Pediatric Dentist
17675 Sw Tualatin Valley Hwy
Beaverton
, Oregon 97006-4443
Dr. Susan Jane Antony
Pediatric Dentist
17675 Sw Tualatin Valley Hwy
Beaverton
, Oregon 97006-4443
(503) 259-3169
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Susan Jane Antony
- 17675 Sw Tualatin Valley Hwy
- Beaverton, OR
- Zip : 97006-4443
- Fax : (503) 259-3169
- Phone : (503) 259-3160
Second Address
- Dr. Susan Jane Antony
- 17675 Sw Tualatin Valley Hwy
- Beaverton, OR
- Zip : 97006-4443
- Fax : (503) 259-3169
- Phone : (503) 259-3160
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What type of doctor is Dr. Susan Jane Antony
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | D6943 | OR |
National Provider Identifier
| NPI | 1023028305 |
|---|---|
| Provider Name | Dr. Susan Jane Antony |
| First Address | Beaverton, OR 97006-4443 |
| Second Address | Beaverton, OR 97006-4443 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/08/2006 |
| Last Update Date | 08/07/2007 |
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.