Provider Demographics
NPI:1619992674
Name:SUAREZ, GILBERTO JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:GILBERTO
Middle Name:
Last Name:SUAREZ
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7312 W CHEYENNE AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-7425
Mailing Address - Country:US
Mailing Address - Phone:702-877-9977
Mailing Address - Fax:702-899-5501
Practice Address - Street 1:7312 W CHEYENNE AVE STE 4
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-7425
Practice Address - Country:US
Practice Address - Phone:702-877-9977
Practice Address - Fax:702-899-5501
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2866122300000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies