DR. SUSAN WRIGHT MONGEAU


Address: 2200 Bergquist Dr Ste 1, Lackland Afb, TX 78236-9908
Phone: 2109251846

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 2200 BERGQUIST DR STE 1
City LACKLAND AFB
State TX
Zip Code 78236-9908

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1223D0001X
Grouping Dental Providers
Classification Dentist
Specialization Dental Public Health

Taxonomy Definition

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

Providers in the same taxonomy and state

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
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Competitor

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City LACKLAND AFB
Zip Code 78236

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Dataset Information

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.

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