DR. MARK DAVID SUTTER (NPI# 1871898130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871898130 |
| Entity Type | Individual |
| Full Name | DR. MARK DAVID SUTTER |
| Credential | DDS |
| Practice Address |
3700 Hilborn Rd Ste 300 Suite 300 Fairfield CA 94534-7996 |
| Practice Telephone | 7074255511 |
| Practice Fax Number | 7074255522 |
| Mailing Telephone | 7074255511 |
| Mailing Fax Number | 7074255522 |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2016-10-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
37169 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTAL INSURANCE | 68-0313477 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033191002 | Mark Eugene Sutter | Emergency Medicine | 550 Peachtree St Ne, Emory University Crawford Long Hospital, Atlanta, GA 30308 | 2005-11-16 |
| Street Address |
3700 HILBORN RD STE 300 SUITE 300 |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94534-7996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558922187 | Solano County Superintendent of Schools | Marriage & Family Therapist | 5100 Business Center Drive, Fairfield, CA 94534 | 2019-06-25 |
| 1205312436 | John Will Hubbard Iv | Behavioral Analyst | 3426 Glen Ellen Dr, Fairfield, CA 94534 | 2018-07-11 |
| 1508358003 | Advent Healthcare Services LLC | Hospice Care, Community Based | 1300 Oliver Rd Ste 350, Fairfield, CA 94534 | 2018-05-31 |
| 1447770268 | Nicole Valentine | Social Worker | 1300 Oliver Rd., 193, Fairfield, CA 94534 | 2017-06-22 |
| 1700339843 | Lap of Love | Point of Service | 3286 Inwood Place, Fairfield, CA 94534 | 2016-07-25 |
| 1013398577 | Paul Severino Bright | Marriage & Family Therapist | 1771 Barton Dr, Fairfield, CA 94534 | 2015-06-10 |
| 1376920264 | Darshan Patel | Internal Medicine | 4520 Business Center Dr, Fairfield, CA 94534 | 2015-04-30 |
| 1972906048 | Kathleen Therese Omeara | Psychologist | 4416 Starflower Ct., Fairfield, CA 94534 | 2014-10-03 |
| 1689090391 | Solano Diagnostics Imaging Medical Group | Radiology | 4500 Business Center Drive, Fairfield, CA 94534 | 2014-03-06 |
| 1174953368 | Alice Lane Therrell | Registered Nurse | 4160 Suisun Valley Rd #132, Fairfield, CA 94534 | 2013-11-25 |
| Find all providers in zip 94534 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225253016 | Michael Kevin Sonick | Dentist | 1047 Old Post Rd, Fairfield, CT 06824-5906 | 2007-04-16 |
| 1851415749 | Cary Alan Shapoff | Dentist | 71 Beach Rd, Fairfield, CT 06824-6001 | 2007-03-18 |
| 1548326713 | Larry Steven Martin | Dentist | 1211 Nilles Rd, Fairfield, OH 45014-2911 | 2006-12-29 |
| 1396818142 | Valerie Margaret Godfrey | Dentist | 1225 Travis Blvd Ste H, Fairfield, CA 94533-4839 | 2006-11-16 |
| 1518401702 | Fairfield County Implants and Periodontics | Dentist | 1047 Old Post Rd, Fairfield, CT 06824-5906 | 2016-12-07 |
| 1376958520 | Rui Ma | Dentist | 1047 Old Post Rd, Fairfield, CT 06824-5906 | 2014-06-26 |
| 1447564893 | Miles Chu | Dentist | 1047 Old Post Rd, Fairfield, CT 06824-5906 | 2010-07-27 |
| 1952556797 | Fairfield County Implants & Periodontics, PC | Dentist | 1047 Old Post Rd, Fairfield, CT 06824-5906 | 2008-11-20 |
| 1508069451 | Fairfield Periodontics, LLC | Dentist | 71 Beach Rd, Fairfield, CT 06824-6001 | 2007-06-07 |
| 1205055860 | Fulton Joseph Zink | Dentist | 1525 Webster St, Suite F, Fairfield, CA 94533-4997 | 2007-04-24 |
| Find all providers in FAIRFIELD | ||||
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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.