Individual provider · Type 1 NPI
Susan Pancoast Eddleman, DDS
General Practice Dentistry · Rock Port, MO
NPI number
1184610909
Active
Practice location
204 S Main St
Rock Port, MO 64482-1532
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 14169 (MO) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Another provider at this address
About NPI 1184610909
Susan Pancoast Eddleman, DDS's National Provider Identifier is 1184610909, issued on Sep 27, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Rock Port, MO. The record was last updated on Jul 8, 2007.