Provider Demographics
NPI:1538036892
Name:JOSEPH SUSLIK, DDS, PLLC
Entity type:Organization
Organization Name:JOSEPH SUSLIK, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SUSLIK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:757-289-5758
Mailing Address - Street 1:1555 S WADSWORTH BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-6832
Mailing Address - Country:US
Mailing Address - Phone:303-986-9522
Mailing Address - Fax:
Practice Address - Street 1:1555 S WADSWORTH BLVD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-6832
Practice Address - Country:US
Practice Address - Phone:303-986-9522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-21
Last Update Date:2025-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental