MEDICARE: WILLIAM ANDRES ALVAREZ SUAREZ MD,DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	204E00000X	Oral & Maxillofacial Surgery (D.M.D.)	DN30870	FL
2	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	25523	OK
3	208600000X	Surgery Physician	4351052050	MI

General Provider Information

NPI Number	:	1437501079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM ANDRES ALVAREZ SUAREZ MD,DMD

Provider Business Mailing Address
First Line	:	400 S OLD WOODWARD AVE STE 300
Second Line	:
City	:	BIRMINGHAM
State	:	MI
Zip	:	48009-1797
Country	:	US
Telephone Number	:	857-241-8185
Fax Number	:	857-241-8185

Provider Business Practice Location Address
First Line	:	3251 NW FEDERAL HWY
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-4457
Country	:	US
Telephone Number	:	954-358-4260
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2016
Last Update Date	:	12/04/2025

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