Provider Demographics
NPI:1164536793
Name:ALLMAN, SUZANNE D (DDS)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:D
Last Name:ALLMAN
Suffix:
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 1:990 W. RALPH HALL PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-6660
Mailing Address - Country:US
Mailing Address - Phone:972-771-9933
Mailing Address - Fax:972-772-4086
Practice Address - Street 1:990 W RALPH HALL PKWY STE 100
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-6660
Practice Address - Country:US
Practice Address - Phone:972-771-9933
Practice Address - Fax:972-772-4086
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX162371223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry