Provider Demographics
NPI:1235358847
Name:MCELHANY, SUSAN CATHERINE (DMD)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:CATHERINE
Last Name:MCELHANY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 NORTH DIVISON ST
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-3921
Mailing Address - Country:US
Mailing Address - Phone:775-882-4242
Mailing Address - Fax:775-882-4675
Practice Address - Street 1:710 N DIVISON ST
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-3921
Practice Address - Country:US
Practice Address - Phone:775-882-4242
Practice Address - Fax:775-882-4675
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4313122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist