SUSAN JO DDS
NPI 1215445101
Dentist - General Practice in Stanton, CA

Active since January 14, 2018
11702 BEACH BLVD, STANTON, CA 90680(714) 898-8552 Get Directions Write a Review

NPPES record last updated: January 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Jo Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN JO DDS (NPI 1215445101) is an individual general practice provider in Stanton, California, licensed in California (102065) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1215445101
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSUSAN JOCredential: DDS
Location Address11702 BEACH BLVDStanton, CA 90680-3609
Mailing Address58 Frances CirBuena Park, CA 90621-5001 · (714) 269-4480
Sole ProprietorNo
Enumeration DateJanuary 14, 2018
NPI 1215445101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 102065
Definition
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.
11702 BEACH BLVD, Stanton, CA 90680

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
11702 BEACH BLVD
STANTON, CA 90680
Dentist
11702 BEACH BLVD
STANTON, CA 90680
Dentist (General Practice)
11702 BEACH BLVD
STANTON, CA 90680
Dentist (General Practice)
11702 BEACH BLVD
STANTON, CA 90680
Dentist (General Practice)
11702 BEACH BLVD
STANTON, CA 90680
Dentist
11702 BEACH BLVD
STANTON, CA 90680
Dentist (General Practice)
11702 BEACH BLVD
STANTON, CA 90680
Dentist
11702 BEACH BLVD
STANTON, CA 90680

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Jo's NPI number?

The NPI number for Susan Jo is 1215445101. It was assigned to this individual provider in the NPPES registry on January 14, 2018.

Where is Susan Jo located?

Susan Jo practices at 11702 Beach Blvd, Stanton, CA 90680. The listed phone number is (714) 898-8552.

What is Susan Jo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Susan Jo was last updated on January 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.