Healthcare Provider Details

I. General information

NPI: 1912159294
Provider Name (Legal Business Name): SUZANNE B HONEYMAN DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2008
Last Update Date: 10/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7726 FINNS LN SUITE 102
LANHAM MD
20706-1321
US

IV. Provider business mailing address

7726 FINNS LN SUITE 102
LANHAM MD
20706-1321
US

V. Phone/Fax

Practice location:
  • Phone: 301-577-3435
  • Fax:
Mailing address:
  • Phone: 301-577-3435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number8446
License Number StateMD

VIII. Authorized Official

Name: DR. SUZANNE BETH HONEYMAN
Title or Position: PRESIDENT
Credential: DDS
Phone: 301-577-3435