Dr. Suthanya Srisuro

D.D.S., M.S. | Orthodontics



  
  3011 Godfrey Rd, Godfrey
  Illinois, 62035-1808

  618-466-7966    Maps & Directions
Dr. Suthanya Srisuro is a Godfrey, Illinois based Orthodontics who is specialized in Orthodontics and Dentofacial Orthopedics. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Suthanya Srisuro is 21000857 for Orthodontics and Dentofacial Orthopedics in Illinois. Her current practice location is 3011 Godfrey Rd, Godfrey. Patients can reach her at 618-466-7966.
Dr. Suthanya Srisuro is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Her major responsibilities include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Complete Profile:
Dr. Suthanya Srisuro speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Name: Dr. Suthanya Srisuro
Specialization: Orthodontics
Gender:Female
Credentials: D.D.S., M.S.
Accepts Medicare Assignment:No
Practice Address:3011 Godfrey Rd, Godfrey,
Illinois, 62035-1808
Phone:618-466-7966
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 are as mentioned below.
NPI Number: 1982829289
NPI Enumeration Date: 13 Apr, 2007
NPI Last Update On: 09 Jul, 2007

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Suthanya Srisuro are as mentioned below.
License NumberSpecializationStateStatus
21000857Orthodontics and Dentofacial Orthopedics IllinoisPrimary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Suthanya Srisuro such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1003841MedicaidIllinois
UNITED CONCORDIAOtherIllinoisPPO NETWORK
227188OtherIllinoisCIGNA HMO
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 1616 Frontenac Woods Ct,
Saint Louis, Missouri
Zip: 63131-3428
Phone Number: 314-569-2225
Patients can reach Dr. Suthanya Srisuro at 3011 Godfrey Rd, Godfrey, Illinois or can call to book an appointment on 618-466-7966. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.

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