Provider Demographics
NPI:1114096930
Name:SCHOEWE, SUSAN L (DMD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:L
Last Name:SCHOEWE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:MRS
Other - First Name:SUSAN
Other - Middle Name:SCHOEWE
Other - Last Name:DIPERNA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3096 MCGULLY ROAD
Mailing Address - Street 2:
Mailing Address - City:ALLISON PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15101
Mailing Address - Country:US
Mailing Address - Phone:412-487-8899
Mailing Address - Fax:
Practice Address - Street 1:4290 RT 8
Practice Address - Street 2:CASTLETOWN SQUARE NORTH
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101
Practice Address - Country:US
Practice Address - Phone:412-487-6910
Practice Address - Fax:412-487-6632
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS025840L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist