MRS. SUSAN LEARY D.D.S.
NPI 1477614717
Dentist - Pediatric Dentistry in San Diego, CA

Q: What is Susan Leary's NPI number?

The NPI number for Susan Leary is 1477614717. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Q: What is Susan Leary's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Susan Leary was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since December 12, 2006

3020 CHILDREN'S WAY MC#5127, SAN DIEGO, CA 92123(858) 966-4094(858) 966-8097 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Susan Leary D.d.s. NPPES

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

MRS. SUSAN LEARY D.D.S. (NPI 1477614717) is an individual pediatric dentistry provider in San Diego, California, licensed in California (53671) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1477614717

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameMRS. SUSAN LEARYCredential: D.D.S.

Location Address3020 CHILDREN'S WAY MC#5127San Diego, CA 92123-4223

Mailing Address276 B AveCoronado, CA 92118-1975 · (858) 966-4094 · Fax (858) 966-8097

Phone(858) 966-4094

Fax(858) 966-8097

Sole ProprietorNo

Enumeration DateDecember 12, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1477614717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in CA · 53671

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

3020 CHILDREN'S WAY MC#5127, San Diego, CA 92123

Open in Google Maps ↗

Other Identifiers 1

MedicaidD53671CA

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 Leary's NPI number?

The NPI number for Susan Leary is 1477614717. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Susan Leary located?

Susan Leary practices at 3020 Children's Way Mc#5127, San Diego, CA 92123. The listed phone number is (858) 966-4094.

What is Susan Leary's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Susan Leary was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.