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Active NPI 1528191657 Individual Practitioner Male Practitioner

Dr. Peter B. Susanin , DDS

Dentist - Periodontics • Devon, PA

Professional Overview & Biography Verified Profile Summary

Dr. Peter Susanin, DDS is a registered healthcare professional specializing in Dentist - Periodontics in Devon, PA. Practice services are available at 227 W LANCASTER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

227 W Lancaster Ave

Devon, PA 193331555

Telephone 6106870339
Associated Practice Facility / Clinic
🏢 Bioesthetic Dentistry, Inc Facility NPI 1013962323

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Periodontics in Devon, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Devon, PA (264 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 - Periodontics Primary Specialty

NUCC Taxonomy Code: 1223P0300X

State License PA DS025547L

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Blaire Stoveld , DMD

Dentist - General Practice

NPI 1285150003

Doctor of Dental Medicine

Dr. Ericka Freemann , DMD

Dentist - General Practice

NPI 1457569824

Doctor of Dental Medicine

Dr. Michael Brogna , DMD, FAGD

Dentist - General Practice

NPI 1760421986

Doctor of Dental Medicine, FAGD

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 227 W LANCASTER AVE, DEVON, PA 193331555 (Tel: 6106870339)

📍
Updated Business Mailing Address July 08, 2007

Registered at 227 W LANCASTER AVE, DEVON, PA 193331555 (Tel: 6106870339)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PETER SUSANIN, DDS

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

Dentist (License #DS025547L in PA)

🟢
Initial NPI Registration & Enumeration March 14, 2007

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: 1528191657
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

227 W Lancaster Ave

Devon, PA 193331555

Phone: 6106870339

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.