Search › Indiana › 1223X0400X
Kenton Susott, DDS, MSD
NPI 1821208166 · on the registry since 2007 · sole proprietor
Practice
- Address
- 3916 Shore Dr
Indianapolis, IN 46254 - Phone
- (317) 299-9506
- Fax
- (317) 290-3505
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Indiana