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Contact Information

SUSAN M WELLMAN, DMD
550 E WASHINGTON AVE
SUITE 100
CRESCENT CITY, CA95531
 Phone: 707-465-4636
 Fax: 707-465-1983
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for SUSAN M WELLMAN · (Female)

NPI # 1033272406
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 12/18/2006
Last updated 12/15/2011 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 54472
  • FL License # DN14964
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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