Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215445101 Individual Practitioner Female Practitioner

Dr. Susan Jo , DDS

Dentist - General Practice • Stanton, CA

Professional Overview & Biography Verified Profile Summary

Dr. Susan Jo, DDS is a registered healthcare professional specializing in Dentist - General Practice in Stanton, CA. Practice services are available at 11702 BEACH BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11702 Beach Blvd

Stanton, CA 906803609

Telephone 7148988552
Associated Practice Facility / Clinic
🏢 Oc Dental Specialists Facility NPI 1104348150

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Stanton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
14 Specialists

Practicing in Stanton, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 102065

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Kevin Fortier , DDS

Dentist - General Practice

NPI 1013118371

Doctor of Dental Surgery

Dr. Thuy Fortier , DDS

Dentist - General Practice

NPI 1225239585

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 14, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 14, 2018

Registered at 11702 BEACH BLVD, STANTON, CA 906803609 (Tel: 7148988552)

📍
Updated Business Mailing Address January 14, 2018

Registered at 58 FRANCES CIR, BUENA PARK, CA 906215001 (Tel: 7142694480)

👤
Provider Name / Credentials Updated January 14, 2018

Recorded as SUSAN JO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2018

Dentist (License #102065 in CA)

🟢
Initial NPI Registration & Enumeration January 14, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215445101
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 14, 2018
Last Update: January 14, 2018
Sole Proprietor: No

Mailing Address

58 Frances Cir

Buena Park, CA 906215001

Phone: 7142694480

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.