Provider Demographics
NPI:1205267556
Name:MCCAULEY, SUELLEN HOWELL (DDS)
Entity type:Individual
Prefix:
First Name:SUELLEN
Middle Name:HOWELL
Last Name:MCCAULEY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNC SCHOOL OF DENTISTRY
Mailing Address - Street 2:TARRSON HALL, CAMPUS BOX 7450
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7450
Mailing Address - Country:US
Mailing Address - Phone:919-537-3662
Mailing Address - Fax:
Practice Address - Street 1:UNC SCHOOL OF DENTISTRY
Practice Address - Street 2:TARRSON HALL, CAMPUS BOX 7450
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7450
Practice Address - Country:US
Practice Address - Phone:919-537-3662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-11
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5916122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist