Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK A SUTOR, DDS MSD
Active Sole ProprietorDR. MARK A SUTOR, DDS MSD is a Periodontology healthcare provider located in BLOOMINGTON, Indiana. NPI 1265565253 is currently active in the NPPES registry. Verify at CMS.
Periodontology · BLOOMINGTON, IN
Registration Details
- NPI Number
- 1265565253
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 13, 2007 (19.391532403442 yrs)
- Last Updated
- Jul 8, 2007
- License
-
12009269 (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
379 S PARK RIDGE RDBLOOMINGTON, IN, 474018574Browse IN providers · Browse ZIP 47401
- Phone
- 8123334550
- Fax
- 8123335789
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in BLOOMINGTON, IN
| Name | Credential | NPI |
|---|---|---|
| DR. GREGORY ELLIS PHILLIPS | DDS, MSD | 1417022427 |
| DR. WILLIAM JOHN SENTIERE | D.D.S.,M.S.D. | 1730205121 |
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.