NICOLE SUSALLA RDH
NPI 1659746568
Dental Hygienist in Dearborn, MI

Q: What is Nicole Susalla's NPI number?

The NPI number for Nicole Susalla is 1659746568. It was assigned to this individual provider in the NPPES registry on December 2, 2015.

Q: What is Nicole Susalla's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Susalla was last updated on December 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 02, 2015

1342 VENICE ST, DEARBORN, MI 48124(313) 645-9209 Get Directions Write a Review

NPPES record last updated: December 2, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nicole Susalla Rdh NPPES

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

NICOLE SUSALLA RDH (NPI 1659746568) is an individual dental hygienist in Dearborn, Michigan, licensed in Michigan (3926143) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1659746568

Entity TypeIndividualFemale

Primary Taxonomy124Q00000X

Provider Legal NameNICOLE SUSALLACredential: RDH

Location Address1342 VENICE STDearborn, MI 48124-4062

Mailing Address1342 Venice StDearborn, MI 48124-4062

Phone(313) 645-9209

Sole ProprietorNo

Enumeration DateDecember 2, 2015

✔ NPI 1659746568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

License✔ Licensed in MI · 3926143

Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

1342 VENICE ST, Dearborn, MI 48124

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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 Nicole Susalla's NPI number?

The NPI number for Nicole Susalla is 1659746568. It was assigned to this individual provider in the NPPES registry on December 2, 2015.

Where is Nicole Susalla located?

Nicole Susalla practices at 1342 Venice St, Dearborn, MI 48124. The listed phone number is (313) 645-9209.

What is Nicole Susalla's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Nicole Susalla was last updated on December 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.