Organization · Type 2 NPI
Susan E Vickers DMD PA
Orthodontics and Dentofacial Orthopedics Dentistry · Berlin, MD
Practice location
11029 Racetrack Rd
Berlin, MD 21811
Fax (410) 749-0022
Mailing address
PO Box 1730
Berlin, MD 21811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry | 1223P0221X | None listed |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | None listed |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
About NPI 1114050820
Susan E Vickers DMD PA's National Provider Identifier is 1114050820, issued on Mar 13, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Berlin, MD. The record was last updated on Sep 11, 2025.