Dr. Susan Katherine Blair
Orthodontists Pediatric Dentist
201 N Arlington Heights Rd
Arlington Heights
, Illinois 60004-6059
Dr. Susan Katherine Blair
Orthodontists Pediatric Dentist
201 N Arlington Heights Rd
Arlington Heights
, Illinois 60004-6059
(847) 670-9020
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About
Features
Specialties
- Pediatric Dentist
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Susan Katherine Blair
- 201 N Arlington Heights Rd
- Arlington Heights, IL
- Zip : 60004-6059
- Phone : (847) 670-9020
Second Address
- Dr. Susan Katherine Blair
- 201 N Arlington Heights Rd
- Arlington Heights, IL
- Zip : 60004-6059
- Phone : (847) 670-9020
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 021.002742 | IL |
| N | 1223X0400X | Orthodontists | 021.002753 | IL |
National Provider Identifier
| NPI | 1013204387 |
|---|---|
| Provider Name | Dr. Susan Katherine Blair |
| First Address | Arlington Heights, IL 60004-6059 |
| Second Address | Arlington Heights, IL 60004-6059 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/07/2011 |
| Last Update Date | 18/12/2017 |
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.