Provider Demographics
NPI:1831456359
Name:DELIMA, SUZANNE L (DDS)
Entity type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:L
Last Name:DELIMA
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 1:23963 E PROSPECT AVE # HV2BE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-5342
Mailing Address - Country:US
Mailing Address - Phone:303-400-9898
Mailing Address - Fax:
Practice Address - Street 1:23963 E PROSPECT AVE # HV2BE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-5342
Practice Address - Country:US
Practice Address - Phone:303-400-9898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-22
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.023666122300000X
CO002023771223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No122300000XDental ProvidersDentist