Provider Demographics
NPI:1083602239
Name:ABER, SUE B (DDS)
Entity Type:Individual
Prefix:DR
First Name:SUE
Middle Name:B
Last Name:ABER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:MCALESTER
Mailing Address - State:OK
Mailing Address - Zip Code:74501-5409
Mailing Address - Country:US
Mailing Address - Phone:918-423-0091
Mailing Address - Fax:918-423-0348
Practice Address - Street 1:320 S 4TH ST
Practice Address - Street 2:
Practice Address - City:MCALESTER
Practice Address - State:OK
Practice Address - Zip Code:74501-5409
Practice Address - Country:US
Practice Address - Phone:918-423-0091
Practice Address - Fax:918-423-0348
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKOK5268122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist