Provider Demographics
NPI:1730360199
Name:STOLARZ, SUZANNE MARIE (DDS)
Entity type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:MARIE
Last Name:STOLARZ
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 1:4183 FRANKLIN RD
Mailing Address - Street 2:SUITE B5
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-4254
Mailing Address - Country:US
Mailing Address - Phone:615-907-4746
Mailing Address - Fax:
Practice Address - Street 1:4183 FRANKLIN RD
Practice Address - Street 2:SUITE B5
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-4254
Practice Address - Country:US
Practice Address - Phone:615-907-4746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-14
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8362122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist