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Susannah Mitchell, DMD — NPI 1699042655, Ingram, TX | NPI Central

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Susannah Mitchell, DMD

NPI 1699042655 · General Practice Dentistry · Ingram, TX

Provider details

NPI number: 1699042655
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DMD
Sex: Female
Sole proprietor: No
License: 9121 (KY)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 31661 (TX)
Dental Providers
Dentist122300000XLicense 9121 (KY)
Dental Providers
Dentist122300000XLicense 24179 (TX)
Dental Providers
Dentist122300000XLicense 10704 (CO)
Dental Providers

Practice location

3164 Junction Hwy Ste W-1

Ingram, TX 78025-3194

Phone: (830) 367-1171

Fax: (830) 367-1173

Approximate (ZIP-level) locationGet directions

More TX providers

Mailing address

3164 Junction Hwy Ste W-1

Ingram, TX 78025-3194

Registry dates

Enumerated: 2011-11-18
Last updated: 2025-04-22
Certified: 2025-04-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.