Provider Demographics
NPI:1134435985
Name:SUSAN E RINK, D.M.D., P.C.
Entity type:Organization
Organization Name:SUSAN E RINK, D.M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:RINK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:570-563-2568
Mailing Address - Street 1:PO BOX 218
Mailing Address - Street 2:112 N. TURNPIKE ROAD
Mailing Address - City:DALTON
Mailing Address - State:PA
Mailing Address - Zip Code:18414-0218
Mailing Address - Country:US
Mailing Address - Phone:570-563-2568
Mailing Address - Fax:570-563-8289
Practice Address - Street 1:112 N TURNPIKE RD
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:PA
Practice Address - Zip Code:18414-9131
Practice Address - Country:US
Practice Address - Phone:570-563-2568
Practice Address - Fax:570-563-8289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS025374L261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental