Provider Demographics
NPI:1417487844
Name:AKRAWE, SUZY (DDS)
Entity Type:Individual
Prefix:DR
First Name:SUZY
Middle Name:
Last Name:AKRAWE
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 1:4101 BRANDYWYNE DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-4263
Mailing Address - Country:US
Mailing Address - Phone:248-635-7083
Mailing Address - Fax:
Practice Address - Street 1:4224 E 10 MILE RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48091-1577
Practice Address - Country:US
Practice Address - Phone:586-756-6351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-18
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010222391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice