DR. SUEZAN C. MCCORMICK (NPI# 1417008103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417008103 |
| Entity Type | Individual |
| Full Name | DR. SUEZAN C. MCCORMICK |
| Credential | DMD |
| Practice Address |
115 Hwy 556 Meadville MS 39653 |
| Mailing Address |
Po Box 758 Meadville MS 39653-0758 |
| Practice Telephone | 6013845891 |
| Practice Fax Number | 6013845878 |
| Mailing Telephone | 6013845891 |
| Mailing Fax Number | 6013845878 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
262691 | MS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00060449 | 05 |
| Street Address |
115 HWY 556 |
| City | MEADVILLE |
| State | MS |
| Zip Code | 39653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871092544 | Bigner Drugs LLC | Pharmacy | 488 Main St East, Po Box 952, Meadville, MS 39653 | 2018-02-07 |
| 1518400191 | Franklin County Memorial Hospital Dba Fc Sports and Therapy Center | Clinic/Center | 248 B Main St W, Meadville, MS 39653 | 2016-11-30 |
| 1275962136 | Franklin County Memorial Hospital | Durable Medical Equipment & Medical Supplies | 248 Main St W, Meadville, MS 39653 | 2013-11-01 |
| 1811208309 | Rural Rapid Response Inc | Ambulance | 165 Walnut St. South, Meadville, MS 39653 | 2010-06-29 |
| 1497962559 | Franklin County School District | Physical Therapist | 491 Highway 98 East, Meadville, MS 39653 | 2007-05-17 |
| 1023220183 | Franklin County School District | Registered Nurse | 481 Hwy. 98 East, Meadville, MS 39653 | 2007-05-03 |
| 1295851970 | Anthony Jay Ezell | Occupational Therapy Assistant | 113 Main St., Meadville, MS 39653 | 2007-03-22 |
| 1295866168 | Franklin County Memorial Hospital | Clinic/Center | 115b Highway 556, Meadville, MS 39653 | 2007-03-09 |
| 1174604318 | Bradley Bowlin | Family Medicine | 115b Hwy 556, Meadville, MS 39653 | 2006-10-17 |
| 1922193218 | Franklin Ambulance Service | Ambulance | 46 Bunkley Road Sw, Main Street, Meadville, MS 39653 | 2006-10-04 |
| Find all providers in zip 39653 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447325899 | Todd Aldan Bailey | Dentist | 390 Park Avenue, Meadville, PA 16335 | 2006-11-21 |
| 1629153226 | Philip Paul Davern | Dentist | 231 Chestnut St, Suite 202, Meadville, PA 16335-3442 | 2006-10-25 |
| 1477648509 | Robert D Stainbrook | Dentist | 684 Highland Ave, Meadville, PA 16335-1938 | 2006-10-04 |
| 1457373755 | William J Wilkinson | Dentist | 390 Park Ave, Meadville, PA 16335-1243 | 2006-07-24 |
| 1063491074 | Arthur Green Jr. | Dentist | 766 Liberty St, Meadville, PA 16335-1054 | 2006-01-10 |
| 1336752948 | Saavan Bhakta | Dentist | 11223 Shaw Ave, Meadville, PA 16335-3711 | 2020-08-25 |
| 1629615455 | French Creek Dental Group | Dentist | 900 Water St, Meadville, PA 16335-3428 | 2019-11-27 |
| 1720569270 | Christopher Glecos | Dentist | 900 Water St, Meadville, PA 16335-3428 | 2018-08-23 |
| 1568825347 | Dennis Morgan Finton | Dentist | 390 Park Avenue, Meadville, PA 16335-9420 | 2016-03-30 |
| 1780012955 | Matthew Thomas Daly | Dentist | 424 North Street, Meadville, PA 16335 | 2013-10-24 |
| Find all providers in MEADVILLE | ||||
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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.