Individual provider · Type 1 NPI

Chad Avery Suissa, DDS

Dentist · Apo, AA

NPI number 1053097261 Active

Practice location

Stone Dental Clinic 10590 Enduring Freedom Dr
Apo, AA 13602

Mailing address

21778 Willow Dr Apt D
Watertown, NY 13601-6489

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X18848 (MD)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1053097261

Chad Avery Suissa, DDS's National Provider Identifier is 1053097261, issued on Jun 22, 2023. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Apo, AA. The record was last updated on Aug 17, 2026.