Provider Demographics
NPI:1649405291
Name:SILVERMAN, SUZANNE R (DMD)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:R
Last Name:SILVERMAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 LAWRENCEVILLE HWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-3268
Mailing Address - Country:US
Mailing Address - Phone:404-329-0000
Mailing Address - Fax:404-329-8900
Practice Address - Street 1:2450 LAWRENCEVILLE HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-3268
Practice Address - Country:US
Practice Address - Phone:404-329-0000
Practice Address - Fax:404-329-8900
Is Sole Proprietor?:No
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0125511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice