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General NPI Number Information
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NPI Number | 1124378187
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Entity Type | Individual
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Provider Name | JAMES C SUIT D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 09/17/2012
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Last Update Date | 09/17/2012
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Provider Practice Location Address
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Address Line | 1578 N HWY 89 SUITE 1
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City | CHINO VALLEY
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State | AZ
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Zip | 86323-7624
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Country | US
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Telephone | 928-636-6227
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Fax | 928-636-6228
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Provider Business Mailing Address
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Address Line | 592 WINDSPIRIT CIR
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City | PRESCOTT
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State | AZ
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Zip | 86303-6702
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Country | US
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Telephone | 928-710-5499
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Fax | 928-636-6228
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | D3894
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License Number State | AZ
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