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 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.