DR. SUSAN E ST GEORGE DDS
NPI 1720393168
Dentist - General Practice in Petersburg, VA

Active since August 10, 2010PECOS Enrolled
23 GOODRICH AVE, PETERSBURG, VA 23805(804) 861-5237(804) 861-1601 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Susan E St George Dds NPPES

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

DR. SUSAN E ST GEORGE DDS (NPI 1720393168) is an individual general practice provider in Petersburg, Virginia, licensed in Virginia (0401412498) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720393168
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SUSAN E ST GEORGECredential: DDS
Location Address23 GOODRICH AVEPetersburg, VA 23805-2119
Mailing Address23 Goodrich AvePetersburg, VA 23805-2119 · (804) 861-5237 · Fax (804) 861-1601
Fax(804) 861-1601
Sole ProprietorNo
Enumeration DateAugust 10, 2010
Last NPPES UpdateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
NPI 1720393168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in VA · 0401412498
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.
23 GOODRICH AVE, Petersburg, VA 23805

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 E St George 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 23805 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
23 GOODRICH AVE
PETERSBURG, VA 23805
Dentist (General Practice)
23 GOODRICH AVE
PETERSBURG, VA 23805

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 St George's NPI number?

The NPI number for Susan St George is 1720393168. It was assigned to this individual provider in the NPPES registry on August 10, 2010.

Where is Susan St George located?

Susan St George practices at 23 Goodrich Ave, Petersburg, VA 23805. The listed phone number is (804) 861-5237.

What is Susan St George's specialty?

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

Is Susan St George enrolled in Medicare?

Yes. Susan St George is registered in the Medicare PECOS enrollment system.

What insurance does Susan St George accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Susan St George as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan St George was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.