MEDICARE: DR. FRANCES ANN SUNSERI D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	D6551	OR

General Provider Information

NPI Number	:	1295734440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCES ANN SUNSERI D.M.D.

Provider Business Mailing Address
First Line	:	9201 SE 91ST AVE
Second Line	:	STE 140
City	:	HAPPY VALLEY
State	:	OR
Zip	:	97086-3760
Country	:	US
Telephone Number	:	503-253-1344
Fax Number	:	503-253-1344

Provider Business Practice Location Address
First Line	:	9201 SE 91ST AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97266-6760
Country	:	US
Telephone Number	:	503-253-1344
Fax Number	:	503-253-5652

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	02/13/2017

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