DR. LISIANE FERREIRA-SUSIN (NPI# 1407152218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407152218 |
| Entity Type | Individual |
| Full Name | DR. LISIANE FERREIRA-SUSIN |
| Credential | DDS |
| Practice Address |
1430 John Wesley Gilbert Drive Gc-1024 Augusta GA 30912-1001 |
| Mailing Address |
1430 John Wesley Gilbert Dr Gc-1024 Augusta GA 30912-0004 |
| Practice Telephone | 7067214225 |
| Mailing Telephone | 7067214225 |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2016-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DNF000358 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ZG0358 | 05 |
| Street Address |
1430 JOHN WESLEY GILBERT DRIVE GC-1024 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811978927 | Andrew Robert Kious | Dentist | 1430 John Wesley Gilbert Drive, Ghsu College of Dental Medicine, Augusta, GA 30912 | 2005-11-07 |
| 1801421268 | Cassandra Nicole Liston | Student in an Organized Health Care Education/Training Program | 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 | 2020-03-05 |
| 1710511738 | Amara Altman | Student in an Organized Health Care Education/Training Program | 1430 John Wesley Gilbert Drive, Dental College of Georgia, Augusta, GA 30909 | 2020-02-28 |
| 1316571318 | Macy Malcom Copelan | Student in an Organized Health Care Education/Training Program | 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 | 2020-02-27 |
| 1447884770 | Shane Mitchell Turgeon | Student in an Organized Health Care Education/Training Program | 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 | 2020-02-25 |
| 1295368918 | Jackie Janzen | Dentist | 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 | 2020-02-20 |
| 1275195984 | Anh Nguyen | Dentist | 1430 John Wesley Gilbert Drive, Augusta, GA 30912-5042 | 2019-07-02 |
| 1508328824 | Skylar Yearous | Student in an Organized Health Care Education/Training Program | 1430 John Wesley Gilbert Drive, College of Dental Medicine Pedodontics - Gc 2116, Augusta, GA 30901 | 2019-04-04 |
| 1659832657 | Mahmoud Elashiry | Student in an Organized Health Care Education/Training Program | 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 | 2019-03-31 |
| 1942761267 | Eric Hatten | Student in an Organized Health Care Education/Training Program | 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 | 2019-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
| 1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
| 1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
| Find all providers in zip 30912 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043374598 | Thomas E Day | Dentist | 3502 Wheeler Rd, Augusta, GA 30909-1824 | 2006-12-20 |
| 1467542464 | Emmanuel C Ngoh | Dentist | 3636 Wheeler Road, Augusta, GA 30909 | 2006-10-13 |
| 1144231440 | Augusta Associates of Endodontics | Dentist | 3502 Wheeler Road, Augusta, GA 30909-1824 | 2006-08-11 |
| 1699733931 | Michelle Uson Sarno | Dentist | 3636 Wheeler Rd, Augusta, GA 30909-6626 | 2006-05-03 |
| 1992295646 | Fucong Tian | Dentist | 1430 John Wesley Gilbert Dr, Augusta, GA 30912-0004 | 2018-05-17 |
| 1235587908 | Wiley Lipscomb Purcell | Dentist | 3636 Wheeler Rd, Augusta, GA 30909-6626 | 2016-06-02 |
| 1427472398 | Maine Endodontics Pa | Dentist | 221 Eastern Ave, Augusta, ME 04330-5930 | 2014-02-12 |
| 1770825887 | James Wylie Gustin | Dentist | 1430 John Wesley Gilbert Drive, Augusta, GA 30912 | 2013-03-27 |
| 1154629855 | Emmanuel C Ngoh Dmd PC | Dentist | 3636 Wheeler Rd, Augusta, GA 30909 | 2011-03-03 |
| 1104083401 | Terry P Wyman | Dentist | 221 Eastern Ave, Augusta, ME 04330 | 2008-05-22 |
| Find all providers in AUGUSTA | ||||
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| 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.