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

Melisa Susanto, DDS

Individual provider General Practice Dentistry · NPI 1396044517

Melisa Susanto, DDS is a General Practice Dentistry in Puyallup, Washington. Licensed in Michigan and Washington. Registered with an NPI since 2011.

Licensed in
MI, WA
In the registry since
2011
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

16810 Meridian E Ste J104
Puyallup, WA 98375-9604
Phone: (626) 241-2669
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DE60481607 (WA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 2901020349 (MI)

Record details

NPI number1396044517
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedMarch 28, 2011
Last updated in NPPESJuly 28, 2014
Mailing address16810 Meridian E, Suite J104, Puyallup, WA 98375-9604

Other providers in Puyallup