Susannah Martha Mitchell, DMD is a
Dentist - General Practice based in Ingram, Texas. Susannah Martha Mitchell is licensed to practice in Texas (license number 31661) and her current practice location is
3164 Junction Hwy Ste W-1, Ingram, Texas. She can be reached at her office (for appointments etc.) via phone at
(830) 367-1171.
NPI number for Susannah Martha Mitchell is 1699042655 and her current mailing address is 3164 Junction Hwy Ste W-1, Ingram, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699042655.
Healthcare Provider's Profile
| Full Name | Susannah Martha Mitchell |
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| Gender | Female |
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| Speciality | Dentist - General Practice |
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| Location | 3164 Junction Hwy Ste W-1, Ingram, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699042655
- Provider Enumeration Date: 11/18/2011
- Last Update Date: 04/22/2025
Medical Identifiers
Medical identifiers for Susannah Martha Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699042655 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 9121 (Kentucky) | Secondary |
| 122300000X | Dentist | 24179 (Texas) | Secondary |
| 122300000X | Dentist | 10704 (Colorado) | Secondary |
| 1223G0001X | Dentist - General Practice | 31661 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susannah Martha Mitchell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Susannah Martha Mitchell, DMD
3164 Junction Hwy Ste W-1,
Ingram, TX 78025-3194
Ph: (830) 367-1171 | Susannah Martha Mitchell, DMD
3164 Junction Hwy Ste W-1,
Ingram, TX 78025-3194
Ph: (830) 367-1171 |
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