Provider Demographics
NPI:1437501079
Name:ALVAREZ SUAREZ, WILLIAM ANDRES (MD,DMD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ANDRES
Last Name:ALVAREZ SUAREZ
Suffix:
Gender:M
Credentials:MD,DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 S OLD WOODWARD AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-1797
Mailing Address - Country:US
Mailing Address - Phone:857-241-8185
Mailing Address - Fax:857-241-8185
Practice Address - Street 1:3251 NW FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:JENSEN BEACH
Practice Address - State:FL
Practice Address - Zip Code:34957-4457
Practice Address - Country:US
Practice Address - Phone:954-358-4260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-07
Last Update Date:2025-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN30870204E00000X
OK255231223S0112X
MI4351052050208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery