Individual provider · Type 1 NPI
Susan J. Sup, DDS
Dentist · Grantsburg, WI
Practice location
302 S Pine St
Grantsburg, WI 54840-7930
Mailing address
302 S Pine St Ste 203
Grantsburg, WI 54840-7930
Other practice locations
- 3750 Rohnerville Rd, Fortuna, CA 95540-3118 · (707) 725-2978
- 200 East Willow, Suite 203, Wheaton, IL 60187-5445 · (630) 665-7400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 6001364-15 (WI) |
| Dentist | 122300000X | 1917286 (IL) |
| Dentist | 122300000X | 112486 (CA) |
Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…
Another provider at this address
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About NPI 1093857799
Susan J. Sup, DDS's National Provider Identifier is 1093857799, issued on Feb 12, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Grantsburg, WI. The record was last updated on Sep 25, 2026.