Provider Demographics
NPI:1962662817
Name:SAVOY, SUSAN ELIZABETH (RDH)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:ELIZABETH
Last Name:SAVOY
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:MS
Other - First Name:SUSAN
Other - Middle Name:HINES
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:1759 VZ COUNTY ROAD 2705
Mailing Address - Street 2:
Mailing Address - City:MABANK
Mailing Address - State:TX
Mailing Address - Zip Code:75147-5483
Mailing Address - Country:US
Mailing Address - Phone:806-729-8781
Mailing Address - Fax:
Practice Address - Street 1:BAVARIA DENTAL ACTIVITY CREDENTIALS OFFICE
Practice Address - Street 2:CMR 475
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09036
Practice Address - Country:US
Practice Address - Phone:49931-889-7714
Practice Address - Fax:49931-889-7714
Is Sole Proprietor?:No
Enumeration Date:2008-06-13
Last Update Date:2017-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4985124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist