Provider Demographics
NPI:1518500339
Name:ELIZABETH SUGG DDS INC
Entity Type:Organization
Organization Name:ELIZABETH SUGG DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SUGG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:843-342-6677
Mailing Address - Street 1:35 BILL FRIES DR BLDG B
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-2731
Mailing Address - Country:US
Mailing Address - Phone:843-342-6677
Mailing Address - Fax:
Practice Address - Street 1:35 BILL FRIES DR BLDG B
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-2731
Practice Address - Country:US
Practice Address - Phone:843-342-6677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-24
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment