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

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.

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Practice location Address checks out

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

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