Provider Demographics
NPI:1720004765
Name:CARTER-O'SHEA, SUSAN KAYE (DDS)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:KAYE
Last Name:CARTER-O'SHEA
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 1:420 HITCHCOCK PKWY
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-3398
Mailing Address - Country:US
Mailing Address - Phone:803-648-6400
Mailing Address - Fax:803-648-3662
Practice Address - Street 1:420 HITCHCOCK PKWY
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-3398
Practice Address - Country:US
Practice Address - Phone:803-648-6400
Practice Address - Fax:803-648-3662
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9525122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist