Individual provider · Type 1 NPI
Susanne Schoppert Wallengren, DDS
Pediatric Dentistry · Lutherville, MD
NPI number
1932265055
Active
Practice location
2324 West Joppa Rd, Suite 430
Lutherville, MD 21093
Fax (410) 825-1159
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 3351 (NH) |
| Dentist | 122300000X | 12747 (MD) |
| Pediatric Dentistry Primary | 1223P0221X | 12747 (MD) |
| Pediatric Dentistry | 1223P0221X | DS039549 (PA) |
| Pediatric Dentistry | 1223P0221X | 3351 (NH) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
About NPI 1932265055
Susanne Schoppert Wallengren, DDS's National Provider Identifier is 1932265055, issued on Jan 1, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Lutherville, MD. The record was last updated on Jul 25, 2013.