National Provider Identifier

Susan M Minchin, DDS

Susan M Minchin, DDS is listed in the NPPES registry with a primary specialty of Dentist in Elmira, NY and a listed phone number of (607) 733-0830.

NPI 1366702300Elmira, NYDentist

Profile Overview

NPI
1366702300
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
May 24, 2012
Last Updated
January 29, 2015

Practice Location

  • 602 W Water St
  • Elmira, NY 14905-2410

Phone: (607) 733-0830

Specialties

  • Dentist (122300000X)
Full Record
NPI
1366702300
Entity Type
Individual
Last Name
Minchin
First Name
Susan
Middle Name
M
Credential
DDS
Mailing Street Address
602 W Water St
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14905-2410
Mailing Country
US
Mailing Phone
(607) 733-0830
Mailing Fax
(607) 733-0830
Practice Street Address
602 W Water St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14905-2410
Practice Country
US
Practice Phone
(607) 733-0830
Practice Fax
(607) 733-0830
Enumeration Date
May 24, 2012
Last Updated
January 29, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X)