Provider Demographics
NPI:1881729523
Name:HALLMAN, SUZANN ELIZABETH (DDS PC)
Entity type:Individual
Prefix:MRS
First Name:SUZANN
Middle Name:ELIZABETH
Last Name:HALLMAN
Suffix:
Gender:F
Credentials:DDS PC
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Mailing Address - Street 1:5271 S OLD US HIGHWAY 23
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48114-7671
Mailing Address - Country:US
Mailing Address - Phone:810-229-1771
Mailing Address - Fax:810-229-5125
Practice Address - Street 1:5271 S OLD US HIGHWAY 23
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48114-7671
Practice Address - Country:US
Practice Address - Phone:810-229-1771
Practice Address - Fax:810-229-5125
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI29010174931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice