Healthcare Provider Details

I. General information

NPI: 1215006382
Provider Name (Legal Business Name): SUSAN E ERLEMEIER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUSAN BAUM ERLEMEIER DDS

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 HIGHWAY 2
STERLINGTON LA
71280-3004
US

IV. Provider business mailing address

1297 SHREVEPORT BARKSDALE HIGHWAY
SHREVEPORT LA
71105
US

V. Phone/Fax

Practice location:
  • Phone: 318-598-5040
  • Fax: 318-869-4725
Mailing address:
  • Phone: 318-865-8725
  • Fax: 318-869-4725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number4324
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: