Provider Demographics
NPI:1902814908
Name:TADAO SUZUKI DDS INC
Entity Type:Organization
Organization Name:TADAO SUZUKI DDS INC
Other - Org Name:LLOYD SUZUKI DDS
Other - Org Type:Other Name
Authorized Official - Title/Position:DENTIST PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:SHIGEMI
Authorized Official - Last Name:SUZUKI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:805-964-5858
Mailing Address - Street 1:122 S PATTERSON AVE
Mailing Address - Street 2:BLDG A STE #212
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-2055
Mailing Address - Country:US
Mailing Address - Phone:805-964-5858
Mailing Address - Fax:805-967-9776
Practice Address - Street 1:122 S PATTERSON AVE
Practice Address - Street 2:BLDG A STE #212
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-2055
Practice Address - Country:US
Practice Address - Phone:805-964-5858
Practice Address - Fax:805-967-9776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48856122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty