| Dr Suthanya Srisuro, DDS, MS | |
|
3011 Godfrey Rd, Godfrey, IL 62035-1808 | |
| (618) 466-7966 | |
| Not Available |
| Full Name | Dr Suthanya Srisuro |
|---|---|
| Gender | Female |
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3011 Godfrey Rd, Godfrey, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982829289 | NPI | - | NPPES |
| 1003841 | Medicaid | IL | |
| UNITED CONCORDIA | Other | IL | PPO NETWORK |
| 227188 | Other | IL | CIGNA HMO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 21000857 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Suthanya Srisuro, DDS, MS 1616 Frontenac Woods Ct, Saint Louis, MO 63131-3428 Ph: (314) 569-2225 | Dr Suthanya Srisuro, DDS, MS 3011 Godfrey Rd, Godfrey, IL 62035-1808 Ph: (618) 466-7966 |
Dr. Norman Petronio Martinez Sr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2907 Godfrey Rd, Godfrey, IL 62035 Phone: 618-466-5508 | |
Grant Christian Russell, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1203 W Delmar Ave, Godfrey, IL 62035 Phone: 618-466-3140 | |
Dr. Emily Suzanne Martin, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1203 W Delmar Ave, Godfrey, IL 62035 Phone: 618-466-3140 | |
Dr. Lawrence E Newquist, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1203 West Delmar, Godfrey, IL 62035 Phone: 618-466-3140 Fax: 618-466-4798 | |
Dr. Rhonda Nicole Green, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3003 Godfrey Rd, Godfrey, IL 62035 Phone: 618-466-5508 Fax: 618-466-3515 | |
Dr. Joanne T Schulmeister, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1203 West Delmar, Godfrey, IL 62035 Phone: 618-466-3140 Fax: 618-466-4798 | |
James Mathus, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3053 Godfrey Rd, Godfrey, IL 62035 Phone: 618-466-4800 |