Susan E Vickers Dmd PA

NPI #1114050820 in Berlin, Maryland

Provider Information

NPI Number: 1114050820
Entity Type: Organization
Organization Name: Susan E Vickers Dmd PA
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Mar 13, 2007
Last Updated: Sep 11, 2025

Practice Location

Address: 11029 RACETRACK RD
City: Berlin
State: Maryland
ZIP Code: 21811
Phone: (410) 749-0009

Authorized Official

Name: DR. SUSAN E VICKERS, DMD MS
Title: OWNER PRESIDENT
Phone: (410) 749-0009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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