Susan J Sup, DDS
Susan J Sup, DDS is a Dentist in Grantsburg, Wisconsin. Qualified in 1980, 46 years ago. Works from 2 locations. Licensed in Illinois and Wisconsin.
- Years since qualifying
- 46
- Licensed in
- IL, WI
- In the registry since
- 2007
- 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.
Practice location Address checks out
302 S Pine StGrantsburg, WI 54840-7930
Phone: (315) 657-2719
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 200 East Willow, Wheaton, IL 60187-5445 — (630) 665-7400
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 6001364-15 (WI) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 1917286 (IL) |
Record details
| NPI number | 1093857799 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DDS |
| Sole proprietor | No |
| NPI enumerated | February 12, 2007 |
| Last updated in NPPES | October 1, 2025 |
| Certification date | October 1, 2025 |
| Mailing address | 302 S Pine St Ste 203, Grantsburg, WI 54840-7930 |
Medicare enrollment
| Medicare specialty | DENTIST |
|---|---|
| Medical school | OTHER |
| Graduated | 1980 (46 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Grantsburg
-
Abelardo Valdes, DDS
302 S Pine St, Grantsburg, WI 54840-7930 · (630) 819-4181