Individual provider · Type 1 NPI

Kenton A. Susott, DDS, MSD

Orthodontics and Dentofacial Orthopedics Dentistry · Indianapolis, IN

NPI number 1821208166 Active

Practice location

3916 Shore Dr
Indianapolis, IN 46254-2604

Call (317) 299-9506 Map

Fax (317) 290-3505

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X12006912A (IN)

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…

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About NPI 1821208166

Kenton A. Susott, DDS, MSD's National Provider Identifier is 1821208166, issued on May 23, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 8, 2007.