National Provider Identifier
Susanne M Kupka-Moore, D.M.D.
Susanne M Kupka-Moore, D.M.D. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Warsaw, NY and a listed phone number of (585) 786-3676.
Profile Overview
- NPI
- 1477677003
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- March 19, 2007
- Last Updated
- July 09, 2007
Practice Location
- 34 Duncan St
- Warsaw, NY 14569-1017
Phone: (585) 786-3676
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1477677003
- Entity Type
- Individual
- Last Name
- Kupka-Moore
- First Name
- Susanne
- Middle Name
- M
- Name Prefix
- Dr.
- Credential
- D.M.D.
- Provider Other Last Name
- Kupka
- Provider Other First Name
- Susanne
- Provider Other Middle Name
- M
- Provider Other Name Prefix Text
- Dr.
- Provider Other Credential Text
- D.M.D.
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 34 Duncan St
- Mailing City
- Warsaw
- Mailing State
- NY
- Mailing ZIP Code
- 14569-1017
- Mailing Country
- US
- Mailing Phone
- (585) 786-3676
- Mailing Fax
- (585) 786-3896
- Practice Street Address
- 34 Duncan St
- Practice City
- Warsaw
- Practice State
- NY
- Practice ZIP Code
- 14569-1017
- Practice Country
- US
- Practice Phone
- (585) 786-3676
- Practice Fax
- (585) 786-3896
- Enumeration Date
- March 19, 2007
- Last Updated
- July 09, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)
- Other Identifiers
- 02172916 (NY), 161350913 (NY, Federal Tax Id)