Provider Demographics
NPI:1023871258
Name:CHOE, SUZIE HEARAN (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:SUZIE
Middle Name:HEARAN
Last Name:CHOE
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 1:719 LUXURY LN APT D
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27205-8949
Mailing Address - Country:US
Mailing Address - Phone:919-885-2749
Mailing Address - Fax:
Practice Address - Street 1:511 S FAYETTEVILLE ST
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-5701
Practice Address - Country:US
Practice Address - Phone:336-626-9989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-31
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC130551223P0300X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Yes1223P0300XDental ProvidersDentistPeriodontics