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

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1568540540

Dr. Susan Roubicek, DMD is an Orthodontics and Dentofacial Orthopedics Dentistry in Staten Island, New York. Licensed in Massachusetts, New Jersey and New York. Registered with an NPI since 2006.

Licensed in
MA, NJ, NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

739 Woodrow Rd
Staten Island, NY 10312
Phone: (718) 317-8524
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 044226 (NY)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence DI17158 (NJ)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 18098 (MA)

Record details

NPI number1568540540
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESJuly 8, 2007

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