DR. SUZANNE PASTERNAK (D.D.S.) – Oral and Maxillofacial Surgery (Dentist), NPI 1912035817

DR. SUZANNE PASTERNAK (D.D.S.) is a healthcare provider. based in Canton, Michigan. specializing in ORAL SURGERY. They hold the professional credentials D.D.S.. They hold a License No. 2901017941 (MI). The NPI Number for DR. SUZANNE PASTERNAK (D.D.S.) is 1912035817

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUZANNE PASTERNAK (D.D.S.)
NPI
1912035817
Phone
(734) 981-4040
Address
42301 CHERRY HILL RD
Enumeration Date
1 March 2007
Last Update Date
21 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3137454697
Graduation Year
1999 (27 years ago)
PAC ID
9739351859
Group Practice PAC ID
8921289760
Professional Enrollment ID
I20111017000047
Address ID
MI482012153DE4201XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

90 ORAL SURGERY in MI

Provider Addresses for DR. SUZANNE PASTERNAK (D.D.S.)

  • 42301 CHERRY HILL RD

    CANTON, MI 481889801

    Phone: (734) 981-4040

    Fax: (734) 981-2683

    Type: Mailing

  • 42301 Cherry Hill Rd

    Canton, MI 481889801

    Phone: (734) 981-4040

    Fax: (734) 981-2683

    Type: Location

  • 4201 SAINT ANTOINE ST STE 2F

    DETROIT, MI 482012153

    Phone: (313) 745-4622

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $685.

Total Amount is formed as General ($685) + Research ($0) + Ownership ($0) = $685.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($553).

Total Amount

$685

General + Research + Ownership

Payments

9

Total payment records

General Amount

$685

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-10-17

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111017000047IOral SurgeryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48188)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921289760View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YMI
-MI
Nurse PractitionerMI
Physician AssistantMI
Clinical PsychologistMI
Physician AssistantMI
-MI
Diagnostic RadiologyMI
Vascular Surgery, General SurgeryMI
Orthopedic SurgeryMI

Reviews

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Frequently asked questions

Is there an official ID for DR. SUZANNE PASTERNAK (D.D.S.) in U.S. healthcare records?
The official identifier for DR. SUZANNE PASTERNAK (D.D.S.) is NPI 1912035817.
Is DR. SUZANNE PASTERNAK (D.D.S.) still an active registrant?
DR. SUZANNE PASTERNAK (D.D.S.) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. SUZANNE PASTERNAK (D.D.S.)?
At a glance, DR. SUZANNE PASTERNAK (D.D.S.) is tied to Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
Is DR. SUZANNE PASTERNAK (D.D.S.) located near Canton?
DR. SUZANNE PASTERNAK (D.D.S.) currently maps to Canton, Michigan in this extract.
Can I trust this NPI listing for DR. SUZANNE PASTERNAK (D.D.S.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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