DR. GREGG A SUTHERLAND (NPI# 1871649624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871649624 |
| Entity Type | Individual |
| Full Name | DR. GREGG A SUTHERLAND |
| Credential | DDS |
| Practice Address |
3135 Wright St Marquette MI 49855-9615 |
| Practice Telephone | 9062268186 |
| Practice Fax Number | 9062262497 |
| Mailing Telephone | 9062268186 |
| Mailing Fax Number | 9062262497 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12013 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4583027 | 05 |
| Street Address |
3135 WRIGHT ST |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855-9615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053747527 | William J. Ballard IIi | Dentist | 3135 Wright St, Marquette, MI 49855-9615 | 2013-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
| Find all providers in zip 49855 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467076562 | Taylor Brooke Kreis | Dentist | 708 Chippewa Sq Ste 1, Marquette, MI 49855-4814 | 2020-06-04 |
| 1235642554 | Nicholas T Golba Dds Pllc | Dentist | 2850 Us 41 W, Marquette, MI 49855-2253 | 2017-11-08 |
| 1174704100 | Paul Clifford Gerrish | Dentist | 2336 Us 41 So, Marquette, MI 49855 | 2007-11-19 |
| 1972799484 | Pamela Austin | Dentist | 1960 Us Highway 41 S, Marquette, MI 49855-9131 | 2007-09-18 |
| 1083829725 | Richard A Peura | Dentist | 708 Chippewa Sq, Suite 1, Marquette, MI 49855-4814 | 2007-05-14 |
| 1154443109 | Christopher A Wilkinson | Dentist | 3210 Us Hwy 41 West, Marquette, MI 49855 | 2007-04-03 |
| 1053460915 | Peter Belpedio | Dentist | 801 N 3rd St, Marquette, MI 49855-3501 | 2007-01-09 |
| 1922179506 | Scott A Jamieson | Dentist | 1029 Lincoln Ave, Marquette, MI 49855-2620 | 2006-11-13 |
| 1225121254 | James S Hayward | Dentist | 989 W Washington St Ste 104, Marquette, MI 49855-4073 | 2006-10-02 |
| 1821199670 | Donn G. Kipka Jr. | Dentist | 1010 N 3rd St, Marquette, MI 49855-3510 | 2006-09-26 |
| Find all providers in MARQUETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.