Dr. Susan Wright Mongeau
Dental Public Health
2200 Bergquist Dr Ste 1
Lackland Afb
, Texas 78236-9908
Dr. Susan Wright Mongeau
Dental Public Health
2200 Bergquist Dr Ste 1
Lackland Afb
, Texas 78236-9908
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. Susan Wright Mongeau
- 2200 Bergquist Dr Ste 1
- Lackland Afb, TX
- Zip : 78236-9908
- Phone :
Second Address
- Dr. Susan Wright Mongeau
- 2200 Bergquist Dr Ste 1
- Lackland Afb, TX
- Zip : 78236-9908
- Phone : (210) 925-1846
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Is Dr. Susan Wright Mongeau a sole practitioner?
Is Dr. Susan Wright Mongeau accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | DN010346 | GA |
| N | 1223D0001X | Dental Public Health | DN11320 | FL |
National Provider Identifier
| NPI | 1073767117 |
|---|---|
| Provider Name | Dr. Susan Wright Mongeau |
| First Address | Lackland Afb, TX 78236-9908 |
| Second Address | Lackland Afb, TX 78236-9908 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/11/2008 |
| Last Update Date | 14/11/2008 |
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.