Susan Sup, DDS
NPI 1093857799 · on the registry since 2007
Practice
- Address
- 302 S Pine St
Grantsburg, WI 54840 - Phone
- (315) 657-2719
- Organisation at this address
- Gary L Kaefer Dds Sc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 200 East Willow, Wheaton, IL
Registry record
- Primary taxonomy
- Dentist
122300000X
- Also registered as
- Dentist
- Licence states on file
- IL, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin