Provider Demographics
NPI:1124378187
Name:SUIT, JAMES C (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:C
Last Name:SUIT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:592 WINDSPIRIT CIR
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86303-6702
Mailing Address - Country:US
Mailing Address - Phone:928-710-5499
Mailing Address - Fax:928-636-6228
Practice Address - Street 1:1578 N HWY 89
Practice Address - Street 2:SUITE 1
Practice Address - City:CHINO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86323-7624
Practice Address - Country:US
Practice Address - Phone:928-636-6227
Practice Address - Fax:928-636-6228
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-17
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZD38941223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics