DR. SUEZAN C. MCCORMICK DMD
NPI 1417008103
Dentist - General Practice in Meadville, MS

Active since January 16, 2007
115 HWY 556, MEADVILLE, MS 39653(601) 384-5891(601) 384-5878 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Suezan C. Mccormick Dmd NPPES

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

DR. SUEZAN C. MCCORMICK DMD (NPI 1417008103) is an individual general practice provider in Meadville, Mississippi, licensed in Mississippi (262691) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1417008103
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SUEZAN C. MCCORMICKCredential: DMD
Location Address115 HWY 556Meadville, MS 39653
Mailing AddressPo Box 758Meadville, MS 39653-0758 · (601) 384-5891 · Fax (601) 384-5878
Fax(601) 384-5878
Sole ProprietorYes
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1417008103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MS · 262691
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.

115 HWY 556, Meadville, MS 39653

Other Identifiers 1

Medicaid00060449MS

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417008103, enumerated as an "individual" on January 16, 2007.

The provider is located at 115 HWY 556 MEADVILLE, MS 39653 and the phone number is (601) 384-5891.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.