DR. Susan M Nissley, DDS

NPI #1003970864 in Suwanee, Georgia

Provider Information

NPI Number: 1003970864
Entity Type: Individual
Name: DR. Susan M Nissley, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Dec 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2052 LAWRENCEVILLE SUWANEE RD
Address 2: SUITE A
City: Suwanee
State: Georgia
ZIP Code: 30024-2647
Phone: (770) 962-8253

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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