Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN C SUDOL, DMD
ActiveDR. JONATHAN C SUDOL, DMD is a Oral & Maxillofacial Surgery healthcare provider located in SOUTHWICK, Massachusetts. NPI 1033222583 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · SOUTHWICK, MA
Registration Details
- NPI Number
- 1033222583
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 17, 2006 (20.038393593805 yrs)
- Last Updated
- May 11, 2023
- Licenses
-
3265 (NH)20461 (MA)
Practice Information
- Address
-
664 COLLEGE HWYSOUTHWICK, MA, 010779260Browse MA providers · Browse ZIP 01077
- Phone
- 4136425250
- Fax
- 4138316366
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.