Provider Demographics
NPI:1841859147
Name:SUAREZ, DANIELLE DAWN (DDS)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:DAWN
Last Name:SUAREZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MS
Other - First Name:DANIELLE
Other - Middle Name:DAWN
Other - Last Name:MAYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:241 S. ELM AVE #1
Mailing Address - Street 2:
Mailing Address - City:EATON
Mailing Address - State:CO
Mailing Address - Zip Code:80615
Mailing Address - Country:US
Mailing Address - Phone:970-454-2326
Mailing Address - Fax:970-454-2640
Practice Address - Street 1:241 S. ELM AVE #1
Practice Address - Street 2:
Practice Address - City:EATON
Practice Address - State:CO
Practice Address - Zip Code:80615
Practice Address - Country:US
Practice Address - Phone:970-454-2326
Practice Address - Fax:970-454-2640
Is Sole Proprietor?:No
Enumeration Date:2019-06-10
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.00204024122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist