Provider Demographics
NPI:1922015718
Name:SUAREZ, MARIA A (DDS,MS)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:A
Last Name:SUAREZ
Suffix:
Gender:F
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 FOX RIDGE CT
Mailing Address - Street 2:SUITE F
Mailing Address - City:DEBARY
Mailing Address - State:FL
Mailing Address - Zip Code:32713-2701
Mailing Address - Country:US
Mailing Address - Phone:386-668-4429
Mailing Address - Fax:
Practice Address - Street 1:75 FOX RIDGE CT
Practice Address - Street 2:SUITE F
Practice Address - City:DEBARY
Practice Address - State:FL
Practice Address - Zip Code:32713-2701
Practice Address - Country:US
Practice Address - Phone:386-668-4429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00127991223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry