Provider Demographics
NPI:1598457426
Name:SUAREZ, JOSMAR (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOSMAR
Middle Name:
Last Name:SUAREZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20609 E GOLDEN ELM DR APT 2G
Mailing Address - Street 2:
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33928-3471
Mailing Address - Country:US
Mailing Address - Phone:201-547-0042
Mailing Address - Fax:
Practice Address - Street 1:20330 GRANDE OAK SHOPPES BLVD UNIT 101
Practice Address - Street 2:
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928-7663
Practice Address - Country:US
Practice Address - Phone:239-319-2363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-22
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN27872122300000X
TX40091122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist