Provider Demographics
NPI:1942211966
Name:SUHR, ROBERTA ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERTA
Middle Name:ANN
Last Name:SUHR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ROBERTA
Other - Middle Name:ANN
Other - Last Name:CAREW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 415
Mailing Address - Street 2:
Mailing Address - City:MILLERTON
Mailing Address - State:OK
Mailing Address - Zip Code:74750-0415
Mailing Address - Country:US
Mailing Address - Phone:580-746-2238
Mailing Address - Fax:580-746-2439
Practice Address - Street 1:16333 W US HIGHWAY 70
Practice Address - Street 2:
Practice Address - City:VALLIANT
Practice Address - State:OK
Practice Address - Zip Code:74764-5598
Practice Address - Country:US
Practice Address - Phone:580-746-2238
Practice Address - Fax:580-746-2439
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK47731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice