MEDICARE: SUSAN DELAINE PETERS RDH

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	124Q00000X	Dental Hygienist	12681	TX

General Provider Information

NPI Number	:	1699022988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN DELAINE PETERS RDH

Provider Business Mailing Address
First Line	:	6110 36TH ST
Second Line	:	UNIT 16
City	:	LUBBOCK
State	:	TX
Zip	:	79407-3649
Country	:	US
Telephone Number	:	806-544-4757
Fax Number	:

Provider Business Practice Location Address
First Line	:	4215 85TH ST
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79423-1931
Country	:	US
Telephone Number	:	806-794-1131
Fax Number	:	806-794-1103

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

Provider Enumeration Date	:	08/06/2012
Last Update Date	:	08/06/2012

Similar Medicare Providers

1396748208 — KELLY SUE ROBINSON D.D.S
Practice Location Address:

4215 85TH ST
LUBBOCK, TX
79423-1931

Practice Phone: 806-794-1131
Practice Fax: 806-794-1103

1174526073 — JOHN DAVID HAMBLEN D.D.S.
Practice Location Address:

4215 85TH ST
LUBBOCK, TX
79423-1931

Practice Phone: 806-794-1131
Practice Fax:

1225099906 — DR. ROBERT BRYAN IOPPOLO DDS
Practice Location Address:

4211 85TH ST
LUBBOCK, TX
79423-1931

Practice Phone: 806-783-8837
Practice Fax: 806-783-8841

1962591446 — STEVEN JAMES HILL D.D.S., P.A.
Practice Location Address:

4211 85TH ST
LUBBOCK, TX
79423-1931

Practice Phone: 806-783-8837
Practice Fax: 806-783-8841

1558448902 — DR. TIMOTHY WILLIAMS D.D.S.
Practice Location Address:

4221 85TH ST
LUBBOCK, TX
79423-1931

Practice Phone: 806-794-4500
Practice Fax: 806-794-6400

1629287628 — DR. DONALD ARTHUR GRIMES D.D.S.
Practice Location Address:

4217 85TH ST
LUBBOCK, TX
79423-1931

Practice Phone: 806-794-9947
Practice Fax: 806-794-0504

Directions to “ SUSAN DELAINE PETERS RDH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.