Provider Demographics
NPI:1043482904
Name:KNOX, SUZANNE A I (DDS)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:A
Last Name:KNOX
Suffix:I
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 CHAPEL PL
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-6699
Mailing Address - Country:US
Mailing Address - Phone:203-794-0464
Mailing Address - Fax:203-794-0237
Practice Address - Street 1:12 CHAPEL PL
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-6699
Practice Address - Country:US
Practice Address - Phone:203-794-0464
Practice Address - Fax:203-794-0237
Is Sole Proprietor?:No
Enumeration Date:2008-03-31
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT12230000X122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist