DR. SUSAN JENNIFER SOUFFRONT DDS
NPI 1659411155
Dentist - General Practice in Bradenton, FL

Active since February 07, 2007PECOS Enrolled
4963 E STATE ROAD 64, BRADENTON, FL 34208(941) 747-7135(941) 747-7165 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. Susan Jennifer Souffront Dds NPPES

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

DR. SUSAN JENNIFER SOUFFRONT DDS (NPI 1659411155) is an individual general practice provider in Bradenton, Florida, licensed in Florida (DN 13822) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659411155
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SUSAN JENNIFER SOUFFRONTCredential: DDS
Location Address4963 E STATE ROAD 64Bradenton, FL 34208-5530
Mailing Address4963 E State Road 64Bradenton, FL 34208-5530 · (941) 747-7135 · Fax (941) 747-7165
Fax(941) 747-7165
Sole ProprietorNo
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1659411155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in FL · DN 13822
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.

4963 E STATE ROAD 64, Bradenton, FL 34208

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Susan Jennifer Souffront Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659411155, enumerated as an "individual" on February 07, 2007.

The provider is located at 4963 E STATE ROAD 64 BRADENTON, FL 34208 and the phone number is (941) 747-7135.

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

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.