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MRS. SUSAN L SHORE-VIGNOLA D.D.S.
NPI 1952394439
Dentist - General Practice in Lake City, MI

Active since August 30, 2005
213 S CANAL ST, LAKE CITY, MI 49651(231) 839-2630(231) 839-5751 Get Directions Write a Review

NPPES record last updated: May 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Susan L Shore-vignola D.d.s. NPPES

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

MRS. SUSAN L SHORE-VIGNOLA D.D.S. (NPI 1952394439) is an individual general practice provider in Lake City, Michigan, licensed in Michigan (2901014317) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1952394439
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMRS. SUSAN L SHORE-VIGNOLACredential: D.D.S.
Location Address213 S CANAL STLake City, MI 49651-7929
Mailing AddressPo Box 719Lake City, MI 49651-0719 · (231) 839-2630 · Fax (231) 839-5751
Phone(231) 839-2630
Fax(231) 839-5751
Sole ProprietorYes
Enumeration DateAugust 30, 2005
Last NPPES UpdateMay 3, 2016
✔ NPI 1952394439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901014317
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.
213 S CANAL ST, Lake City, MI 49651
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Other Identifiers 1

Medicaid4087824MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 3

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

MITCH TY CARPENTER-THOMPSON
Dentist (General Practice)
213 S CANAL ST
LAKE CITY, MI 49651
Missaukee County (231) 839-2630
LAKE CITY FAMILY DENTISTRY
Dentist (General Practice)
213 S CANAL ST
LAKE CITY, MI 49651
Missaukee County (231) 839-2630
LAKE CITY FAMILY DENTISTRY
Dentist (General Practice)
213 S CANAL ST
LAKE CITY, MI 49651
Missaukee County (231) 839-2630

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 Shore-vignola's NPI number?

The NPI number for Susan Shore-vignola is 1952394439. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Susan Shore-vignola located?

Susan Shore-vignola practices at 213 S Canal St, Lake City, MI 49651. The listed phone number is (231) 839-2630.

What is Susan Shore-vignola's specialty?

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

What insurance does Susan Shore-vignola 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 Shore-vignola 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 Shore-vignola was last updated on May 3, 2016. 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.