Susan A Sheets Dds A Professional Dental Corporation
DME Supplier
131 W Grand Ave Ste B2, El Segundo
California, 90245-4243
310-832-2657 Susan A Sheets Dds A Professional Dental Corporation is a DME supplier in El Segundo, California. It is located at 131 W Grand Ave Ste B2, El Segundo and it's customer support contact number is 310-832-2657. The authorized person of Susan A Sheets Dds A Professional Dental Corporation is Susan Ann Sheets, DDS who is Owner/provider of this DME and his contact number is 310-525-0556. Susan A Sheets Dds A Professional Dental Corporation accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Susan A Sheets Dds A Professional Dental Corporation is
DME Supplier Details:
Susan A Sheets Dds A Professional Dental Corporation type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Susan A Sheets Dds A Professional Dental Corporation |
| Type: | DME Supplier |
| Location: | 131 W Grand Ave Ste B2, El Segundo,
California, 90245-4243 |
| Phone: | 310-832-2657 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Susan Ann Sheets |
| Credentials: | DDS |
| Position: | Owner/provider |
| Contact Number: | 310-525-0556 |
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 of given supplier are as mentioned below.
| NPI Number: | 1922488352 |
| NPI Enumeration Date: | 01 Jun, 2015 |
| NPI Last Update On: | 01 Jun, 2026 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susan A Sheets Dds A Professional Dental Corporation are as mentioned below.
| Specialization | License Number | State | Status | |
| | | | Primary | |
| Customized Equipment | | | Secondary | |
| Oral and Maxillofacial Surgery | | | Secondary | |
| General Practice | | | Secondary | |
Medicare Enrollment:
Susan A Sheets Dds A Professional Dental Corporation is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1456668805 | O20150916002991 | Susan A Sheets Dds A Professional Dental Corporation | DME SUPPLIER - ORAL SURGERY - DENTIST |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2515 S Western Ave Ste 109,
San Pedro, California |
| Zip: | 90732-4643 |
| Phone Number: | 310-832-2657 |
| Fax Number: | 310-832-5164 |
Patients can reach Susan A Sheets Dds A Professional Dental Corporation at
131 W Grand Ave Ste B2, El Segundo, California or can
call on customer care at 310-832-2657.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 June, 2026.