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Active NPI 1538303284 Individual Practitioner Female Practitioner

Dr. Susannah Faye Bohannon , DMD

Dentist - General Practice • Olympia, WA

Professional Overview & Biography Verified Profile Summary

Dr. Susannah Bohannon, DMD is a registered healthcare professional specializing in Dentist - General Practice in Olympia, WA. Practice services are available at 4210 MARTIN WAY E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4210 Martin Way E
#101

Olympia, WA 985165325

Telephone 3604559544
Associated Practice Facility / Clinic
🏢 Nurani, Mitchell, Kim, Pc Facility NPI 1699110494

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Olympia, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
64 Specialists

Practicing in Olympia, WA (3345 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 WA DE60034344

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

5 Associated Practitioners
Dr. Seok-Won (Sean) Chang , DMD

Dentist - General Practice

NPI 1184842155

Doctor of Dental Medicine

NPI 1386817567

Doctor of Dental Surgery

NPI 1528739968

Doctor of Dental Surgery

Dr. Trupa Patel , DMD

Dentist - General Practice

NPI 1780037564

Doctor of Dental Medicine

NPI 1932653185

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 24, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location April 24, 2009

Registered at 4210 MARTIN WAY E, #101, OLYMPIA, WA 985165325 (Tel: 3604559544)

📍
Updated Business Mailing Address April 24, 2009

Registered at 4210 MARTIN WAY E, #101, OLYMPIA, WA 985165325 (Tel: 3604559544)

👤
Provider Name / Credentials Updated April 24, 2009

Recorded as SUSANNAH BOHANNON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2009

Dentist (License #DE60034344 in WA)

🟢
Initial NPI Registration & Enumeration April 24, 2009

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: 1538303284
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2009
Last Update: April 24, 2009
Sole Proprietor: No

Mailing Address

4210 Martin Way E, #101

Olympia, WA 985165325

Phone: 3604559544

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.