Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Susan E Vickers DMD PA

Organization Pediatric Dentistry · NPI 1114050820

Susan E Vickers DMD PA is a Pediatric Dentistry in Berlin, Maryland. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

11029 Racetrack Rd
Berlin, MD 21811
Phone: (410) 749-0009
Fax: (410) 749-0022
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X
Pediatric Dentistry Taxonomy 1223P0221X

Record details

NPI number1114050820
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Vickers — Owner President · (410) 749-0009
NPI enumeratedMarch 13, 2007
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 1730, Berlin, MD 21811