Susan D Lo is a East Boston, Massachusetts based Pediatric Dentist who is specialized in
Pediatric Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Susan D Lo is
17369 for Pediatric Dentistry in Massachusetts. Her current practice location is
10 Gove St, East Boston. Patients can reach her at
617-569-5800.
Susan D Lo 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 Profile:
Susan D Lo 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: | Susan D Lo |
| Specialization: | Pediatric Dentist |
| Gender: | Female |
| Credentials: | D.M.D. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 10 Gove St, East Boston,
Massachusetts, 02128-1920 |
| Phone: | 617-569-5800 |
| Fax: | 617-568-4780 |
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: | 1396764601 |
| NPI Enumeration Date: | 18 Jul, 2006 |
| NPI Last Update On: | 08 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 Susan D Lo are as mentioned below.
| License Number | Specialization | State | Status | |
| 17369 | Pediatric Dentistry | Massachusetts | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Susan D Lo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0275204 | Medicaid | Massachusetts | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 10 Gove St,
East Boston, Massachusetts |
| Zip: | 02128-1920 |
| Phone Number: | 617-569-5800 |
| Fax Number: | 617-568-4780 |
Patients can reach Susan D Lo at
10 Gove St, East Boston, Massachusetts or can
call to book an appointment on 617-569-5800.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.