Susan E Vickers Dmd Pa is a Pediatric Dental Clinic in Berlin, Maryland. It is located at 11029 Racetrack Rd, Berlin, MD and its contact number is 410-749-0009. The authorized person for Susan E Vickers Dmd Pa is Dr. Susan E Vickers
who is Owner President of the clinic and their contact number is 410-749-0009.
Susan E Vickers Dmd Pa Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Susan E Vickers Dmd Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Susan E Vickers Dmd Pa |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 11029 Racetrack Rd, Berlin,
Maryland, 21811 |
| Phone: | 410-749-0009 |
| Fax: | 410-749-0022 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Susan E Vickers |
| Position: | Owner President |
| Contact Number: | 410-749-0009 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Susan E Vickers Dmd Pa clinic are as mentioned below.
| NPI Number: | 1114050820 |
| NPI Enumeration Date: | 13 Mar, 2007 |
| NPI Last Update On: | 11 Sep, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susan E Vickers Dmd Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Orthodontics and Dentofacial Orthopedics | | | Primary | |
| Pediatric Dentistry | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1000039987 | Medicaid | Delaware | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Susan E Vickers Dmd Pa
Po Box 1730,
Berlin, Maryland |
| Zip: | 21811 |
| Phone Number: | 410-749-0009 |
| Fax Number: | 410-749-0022 |
Patients can reach Susan E Vickers Dmd Pa at
11029 Racetrack Rd, Berlin, Maryland or can
call to book an appointment on 410-749-0009.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.