NPI 1104884774 · live from the CMS NPI Registry
Suzanne Elizabeth Bird, DDS, MS
Dentist, Pediatric Dentistry in Charlotte, NC. National Provider Identifier 1104884774, active.
NPI record
| NPI | 1104884774 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Pediatric Dentistry 1223P0221X |
| Practice location | 16607 Riverstone Way, Suite 300, Charlotte, NC 28277 |
| Practice phone | 704-840-6803 |
| Enumerated | May 3, 2006 |
| Last updated | July 18, 2013 |
| Sole proprietor | No |
| Other names | Suzanne Davis |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 7109 (NC) |
| Dentist, Pediatric Dentistry primary | 1223P0221X | 7109 (NC) |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 7109 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.