Provider Demographics
NPI:1962750943
Name:FURNEY, SUZAN ELENE (DDS)
Entity type:Individual
Prefix:DR
First Name:SUZAN
Middle Name:ELENE
Last Name:FURNEY
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 1:1592 COMMON ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3113
Mailing Address - Country:US
Mailing Address - Phone:830-625-6565
Mailing Address - Fax:830-626-0299
Practice Address - Street 1:1592 COMMON ST
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3113
Practice Address - Country:US
Practice Address - Phone:830-625-6565
Practice Address - Fax:830-626-0299
Is Sole Proprietor?:No
Enumeration Date:2012-08-22
Last Update Date:2012-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11,8961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice