Provider Demographics
NPI:1093980740
Name:COCO, SUZANNE KEMP (DDS, MDS)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:KEMP
Last Name:COCO
Suffix:
Gender:F
Credentials:DDS, MDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8028 CANTRELL RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72227-2419
Mailing Address - Country:US
Mailing Address - Phone:501-319-7520
Mailing Address - Fax:
Practice Address - Street 1:8028 CANTRELL RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72227-2419
Practice Address - Country:US
Practice Address - Phone:501-319-7520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR151223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics