Provider Demographics
NPI:1134245103
Name:BAKER-OCHS, SUSAN A (DDS)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:A
Last Name:BAKER-OCHS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:A
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:35207 GROESBECK HWY
Mailing Address - Street 2:
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48035-2514
Mailing Address - Country:US
Mailing Address - Phone:586-791-6655
Mailing Address - Fax:586-791-8543
Practice Address - Street 1:35207 GROESBECK HWY
Practice Address - Street 2:
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48035-2514
Practice Address - Country:US
Practice Address - Phone:586-791-6655
Practice Address - Fax:586-791-8543
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901015387122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist