Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003970864 Individual Practitioner Female Practitioner

Dr. Susan M Nissley , DDS

Dentist - General Practice • Suwanee, GA

Professional Overview & Biography Verified Profile Summary

Dr. Susan Nissley, DDS is a registered healthcare professional specializing in Dentist - General Practice in Suwanee, GA. Practice services are available at 2052 LAWRENCEVILLE SUWANEE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2052 Lawrenceville Suwanee Rd
Suite A

Suwanee, GA 300242647

Telephone 7709628253
Associated Practice Facility / Clinic
🏢 Andrea M Garmon, Dmd Pc Facility NPI 1891708384

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Suwanee, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
43 Specialists

Practicing in Suwanee, GA (3302 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 GA DN010506

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

1 Associated Practitioners
NPI 1801263223

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2052 LAWRENCEVILLE SUWANEE RD, SUITE A, SUWANEE, GA 300242647 (Tel: 7709628253)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2052 LAWRENCEVILLE SUWANEE RD, SUITE A, SUWANEE, GA 300242647 (Tel: 7709628253)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SUSAN NISSLEY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DN010506 in GA)

🟢
Initial NPI Registration & Enumeration December 19, 2006

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: 1003970864
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

2052 Lawrenceville Suwanee Rd, Suite A

Suwanee, GA 300242647

Phone: 7709628253

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.