Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699042655 Individual Practitioner Female Practitioner

Dr. Susannah Martha Mitchell , DMD

Dentist - General Practice • Ingram, TX

Professional Overview & Biography Verified Profile Summary

Dr. Susannah Mitchell, DMD is a registered healthcare professional specializing in Dentist - General Practice in Ingram, TX. Practice services are available at 3164 JUNCTION HWY STE W-1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3164 Junction Hwy Ste W-1

Ingram, TX 780253194

Telephone 8303671171
Fax 8303671173
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Ingram, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Ingram, TX (10570 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: 2025-04-22
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 31661

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License KY 9121

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License TX 24179

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License CO 10704

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1104014505

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location April 22, 2025

Registered at 3164 JUNCTION HWY STE W-1, INGRAM, TX 780253194 (Tel: 8303671171)

📍
Updated Business Mailing Address April 22, 2025

Registered at 3164 JUNCTION HWY STE W-1, INGRAM, TX 780253194 (Tel: 8303671171)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2025

Dentist (License #9121 in KY)

NPI Profile Active October 02, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 02, 2012

Registered at 6110 BARNES RD, COLORADO SPRINGS, CO 809222600 (Tel: 7196303366)

📍
Updated Business Mailing Address October 02, 2012

Registered at 234 CRYSTAL PARK RD, MANITOU SPRINGS, CO 808292841 (Tel: 6179354564)

👤
Provider Name / Credentials Updated October 02, 2012

Recorded as SUSANNAH MITCHELL, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2012

Dentist (License #10704 in CO)

🟢
Initial NPI Registration & Enumeration November 18, 2011

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: 1699042655
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 18, 2011
Last Update: April 22, 2025
Sole Proprietor: No

Mailing Address

3164 Junction Hwy Ste W-1

Ingram, TX 780253194

Phone: 8303671171

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.