NATHAN SUTER DDS MOBILE LLC NPI 1780358622

NPI Information

NPI: 1780358622
Provider Name: NATHAN SUTER DDS MOBILE LLC

Doing Business As: ENABLE DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
7214 EXECUTIVE PKWY
HOUSE SPRINGS, MO
ZIP 63051
Phone: (512) 861-1337
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NATHAN SUTER DDS MOBILE LLC is a dental clinic center in House Springs, MO. NATHAN SUTER DDS MOBILE LLC NPI is 1780358622. The provider is registered as an organization entity type.
The provider Is Doing Business As Enable Dental.

The provider's business location address is:

7214 EXECUTIVE PKWY
HOUSE SPRINGS, MO
ZIP 63051-981
Phone: (512) 861-1337
Fax: (866) 815-3719

The provider's authorized official is Benjamin Tiggelaar .
The authorized official title is Authorized Agent and has the following contact phone number (512) 980-4648.

The enumeration date for this NPI number is 8/4/2021 and was last updated on 11/3/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

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: 5/5/2024

NPI Synchronization or Removal

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