Provider Demographics
NPI:1720532187
Name:NAJJAR, SUZANNE (DMD)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:
Last Name:NAJJAR
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3120 JUSTIN RD STE B
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-7037
Mailing Address - Country:US
Mailing Address - Phone:972-317-2800
Mailing Address - Fax:972-317-2880
Practice Address - Street 1:3120 JUSTIN RD STE B
Practice Address - Street 2:
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-7037
Practice Address - Country:US
Practice Address - Phone:972-317-2800
Practice Address - Fax:972-317-2880
Is Sole Proprietor?:No
Enumeration Date:2016-08-15
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32176122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist