Healthcare Provider Details

I. General information

NPI: 1598803108
Provider Name (Legal Business Name): OSCAR RAUL SUAREZ-SANCHEZ DDS., MSCD, MMSC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2007
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

991 W HUDSON BLVD
GASTONIA NC
28052-6430
US

IV. Provider business mailing address

1829 S RIDGE AVE
KANNAPOLIS NC
28083-6149
US

V. Phone/Fax

Practice location:
  • Phone: 704-853-5191
  • Fax: 704-853-5131
Mailing address:
  • Phone: 940-279-6045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License NumberDE00009647
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number13635
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: