DR. SUSAN WRIGHT MONGEAU (NPI# 1073767117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073767117 |
Entity Type | Individual |
Full Name | DR. SUSAN WRIGHT MONGEAU |
Credential | DDS, MPH |
Practice Address |
2200 Bergquist Dr Ste 1 Lackland Afb TX 78236-9908 |
Practice Telephone | 2109251846 |
Enumeration Date | 2008-11-14 |
Last Update Date | 2008-11-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223D0001X |
Dentist Specialization: Dental Public Health |
DN11320 | FL | Dental Providers |
Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
DN010346 | GA | Dental Providers |
Street Address |
2200 BERGQUIST DR STE 1 |
City | LACKLAND AFB |
State | TX |
Zip Code | 78236-9908 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427041979 | Terence Gerald Benson Jr. | Pharmacist | 2200 Bergquist Dr Ste 1, Lackland Afb, TX 78236-9908 | 2005-08-30 |
1972031011 | George Benson | General Practice | 2200 Bergquist Dr Ste 1, Lackland Afb, TX 78236-9908 | 2017-06-02 |
1467984187 | Trevor Edgington | General Practice | 2200 Bergquist Dr Ste 1, Lackland Afb, TX 78236-9908 | 2017-03-31 |
1376938399 | Colette Poole-boykin | Student in an Organized Health Care Education/Training Program | 2200 Bergquist Dr Ste 1, Ste 1, Lackland Afb, TX 78236-9908 | 2015-04-06 |
1720210933 | John Ryan Brewer | Ophthalmology | 2200 Bergquist Dr Ste 1, Attn: Credentials (cmc), Lackland Afb, TX 78236-9908 | 2009-08-20 |
1023256815 | Risa Cavalcanti Riepma | Dietitian, Registered | 2200 Bergquist Dr Ste 1, Attn: Credentials (cmc), Lackland Afb, TX 78236-9908 | 2009-02-02 |
1053571018 | Brian Michael Fitzgerald | Anesthesiology | 2200 Bergquist Dr Ste 1, Lackland Afb, TX 78236-9908 | 2008-06-12 |
1760649297 | Rayna Lane Wooten | Dietitian, Registered | 2200 Bergquist Dr Ste 1, Lackland Afb, TX 78236-9908 | 2008-05-21 |
1235309659 | Margaret Bonnie Cole | Pharmacist | 2200 Bergquist Dr Ste 1, Lackland Afb, TX 78236-9908 | 2008-03-03 |
1134397953 | Jean Rae Facchini | Dietitian, Registered | 2200 Bergquist Dr Ste 1, Attn: Credentials (cmc), Lackland Afb, TX 78236-9908 | 2008-02-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
Find all providers in zip 78236 |
Taxonomy Code | 1223D0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Dental Public Health |
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982221032 | Girish Suresh Shelke | Dentist | 7703 Floyd Curl Dr # 2.539u, San Antonio, TX 78229-3901 | 2020-07-05 |
1386289767 | Nazgol Gharbi | Dentist | 5310 Burnet Rd Ste 108, Austin, TX 78756-2061 | 2019-11-09 |
1841845989 | Ensy Ann Atarod | Dentist | 1303 San Antonio St Ste 500, Austin, TX 78701-0025 | 2019-08-06 |
1073177531 | Kendall Dds Pllc | Dentist | 2124 S Donnybrook Ave, Tyler, TX 75701-4239 | 2019-04-30 |
1093272932 | Dental Smiles | Dentist | 1201 Barbara Jordan Blvd Ste 1435, Austin, TX 78723-3099 | 2019-02-27 |
1790240794 | Jamboree Dentistry Vi Pllc | Dentist | 6715 Bissonnet St, Houston, TX 77074-6129 | 2019-02-04 |
1083198311 | Husain Kapadia | Dentist | 14041 Grant Rd Ste 110, Cypress, TX 77429-0041 | 2018-09-21 |
1679076848 | Northside Health Center | Dentist | 8504 Schuller, Houston, TX 77093 | 2018-03-14 |
1093218257 | Sharpstown Health Clinic | Dentist | 6201 Bohomme Rd, 3rd Floor, Houston, TX 77036 | 2018-03-14 |
1700389962 | La Nueva Casa De Amigos | Dentist | 1809 N Main Street, Houston, TX 77009 | 2018-03-14 |
Find all providers with the same taxonomy |
City | LACKLAND AFB |
Zip Code | 78236 |
Please comment or provide details below to improve the information on DR. SUSAN WRIGHT MONGEAU.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.