Yusuke Suzuki, DMD – General Practice Dentistry

Key facts

NPI: 1689833865
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: 50379 (CA)
Practice address: 211 Cadloni LN
B
Vallejo, CA 94591-8623
Phone: (707) 315-1541
NPI assigned: Jun 3, 2008
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Yusuke Suzuki D M D Inc General Practice Dentistry · Lodi, CA · NPI 1265201271

NPD Authorized official GENERAL PRACTICE

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
50379	CA	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
Yusuke Suzuki D M D Inc	General Practice	Current since Jan 7, 2024	Accepting new patients

Locations

801 S Ham Ln
Ste L
Lodi, CA 95242
Phone (209) 334-0630

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	50379	CA	Yes

Addresses

Primary practice location

211 Cadloni LN
B
Vallejo, CA 94591-8623

Mailing address

801 S Ham LN
Suite L
Lodi, CA 95242-7501
Phone (707) 315-1541

Other providers in Vallejo, CA

All providers in Vallejo, CA · General Practice Dentistry in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.