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DRS SUTLLE & PIERCE PA NPI 1295860690


NPI Information

NPI: 1295860690
Provider Name: DRS SUTLLE & PIERCE PA

Former Legal Business Name: DUDLEY C CHANDLER DDS & W MARK SUTTLE DDS PA

Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
2870 LYNDHURST AVE
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 765-9224
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DRS SUTLLE & PIERCE PA is a periodontics dentist in Winston Salem, NC. The provider is 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. DRS SUTLLE & PIERCE PA NPI is 1295860690. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Dudley C Chandler Dds & W Mark Suttle Dds Pa.

The provider's business location address is:

2870 LYNDHURST AVE
WINSTON SALEM, NC
ZIP 27103-110
Phone: (336) 765-9224
Fax: (336) 765-2340

The provider's authorized official is William Mark Suttle .
The authorized official title is President/owner and has the following contact phone number (336) 765-9224.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 3/5/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0300XDentistPeriodontics6929NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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