Provider Demographics
NPI:1598896847
Name:REED, SUSAN (DDS, MPH, DRPH)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:DDS, MPH, DRPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 COTTON PLANTERS CT
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-8307
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:165 ASHLEY AVE # MSC917
Practice Address - Street 2:MEDICAL UNIVERSITY OF SOUTH CAROLINA
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-9170
Practice Address - Country:US
Practice Address - Phone:843-792-1577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI31426101223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health