DR. KENTON A SUSOTT DDS, MSD
NPI 1821208166
Dentist - Orthodontics and Dentofacial Orthopedics in Indianapolis, IN

Active since May 23, 2007
3916 SHORE DR, INDIANAPOLIS, IN 46254(317) 299-9506(317) 290-3505 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kenton A Susott Dds, Msd NPPES

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

DR. KENTON A SUSOTT DDS, MSD (NPI 1821208166) is an individual orthodontics and dentofacial orthopedics provider in Indianapolis, Indiana, licensed in Indiana (12006912A) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1821208166
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. KENTON A SUSOTTCredential: DDS, MSD
Location Address3916 SHORE DRIndianapolis, IN 46254-2604
Mailing Address3916 Shore DrIndianapolis, IN 46254-2604 · (317) 299-9506 · Fax (317) 290-3505
Fax(317) 290-3505
Sole ProprietorYes
Enumeration DateMay 23, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1821208166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in IN · 12006912A
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
3916 SHORE DR, Indianapolis, IN 46254

Other Providers at the Same Location NPPES

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

Dentist (Orthodontics and Dentofacial Orthopedics)
3916 SHORE DR
INDIANAPOLIS, IN 46254

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 Kenton Susott's NPI number?

The NPI number for Kenton Susott is 1821208166. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Kenton Susott located?

Kenton Susott practices at 3916 Shore Dr, Indianapolis, IN 46254. The listed phone number is (317) 299-9506.

What is Kenton Susott's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Kenton Susott was last updated on July 8, 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.