Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1437893013 Individual Practitioner Female Practitioner

Dr. Susan Kristen Erickson , DDS

Dentist • Mattituck, NY

Professional Overview & Biography Verified Profile Summary

Dr. Susan Erickson, DDS is a registered healthcare professional specializing in Dentist in Mattituck, NY. Practice services are available at 11535 MAIN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11535 Main Rd

Mattituck, NY 119521687

Telephone 6312985021
Associated Practice Facility / Clinic
🏢 Frank A. Kestler, D.d.s. Facility NPI 1225403496

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Mattituck, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
5 Specialists

Practicing in Mattituck, NY (6355 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

CMS Verified: 2023-12-07
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NY 063285

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

2201 Hempstead Tpke

East Meadow, NY 115541859

Phone: 5165728774

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1184044026
Dr. Francis Kestler , DDS

Dentist - General Practice

NPI 1275521338

Doctor of Dental Surgery

Dr. Jordan Seider , DDS

Dentist - General Practice

NPI 1790859015

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 07, 2023

Registered at 11535 MAIN RD, MATTITUCK, NY 119521687 (Tel: 6312985021)

📍
Updated Business Mailing Address December 07, 2023

Registered at 11535 MAIN RD, MATTITUCK, NY 119521687 (Tel: 6312985021)

NPI Profile Active April 21, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 21, 2022

Registered at 2201 HEMPSTEAD TPKE, EAST MEADOW, NY 115541859 (Tel: 5165728774)

📍
Updated Business Mailing Address April 21, 2022

Registered at 2201 HEMPSTEAD TPKE, EAST MEADOW, NY 115541859 (Tel: 5165728774)

👤
Provider Name / Credentials Updated April 21, 2022

Recorded as SUSAN ERICKSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 21, 2022

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: 1437893013
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 21, 2022
Last Update: December 07, 2023
Sole Proprietor: No

Mailing Address

11535 Main Rd

Mattituck, NY 119521687

Phone: 6312985021

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.