Susan J Sup is a Grantsburg, Wisconsin based Dentist who is specialized in Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Susan J Sup is 6001364-15 for Dentistry in Wisconsin. Her current practice location is 302 S Pine St, Grantsburg. Patients can reach her at 315-657-2719.
Susan J Sup is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Susan J Sup 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 J Sup
Specialization:
Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
302 S Pine St, Grantsburg, Wisconsin, 54840-7930
Phone:
315-657-2719
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:
1093857799
NPI Enumeration Date:
12 Feb, 2007
NPI Last Update On:
01 Oct, 2025
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 J Sup are as mentioned below.
License Number
Specialization
State
Status
6001364-15
Dentistry
Wisconsin
Primary
1917286
Dentistry
Illinois
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
302 S Pine St Ste 203, Grantsburg, Wisconsin
Zip:
54840-7930
Patients can reach Susan J Sup at 302 S Pine St, Grantsburg, Wisconsin or can call to book an appointment on 315-657-2719. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.