Michael K Sutley Dds Pa in Minneapolis - Oral And Maxillofacial Surgery
Michael K Sutley Dds Pa - NPI 1497890594
Michael K Sutley Dds Pa is a Oral And Maxillofacial Surgery in Minneapolis, Minnesota. Michael K Sutley Dds Pa practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Michael K Sutley Dds Pa is 1497890594. The last update date is 2020-08-22.
Michael K Sutley Dds Pa's current location address is 825 Nicollet Mall, Minneapolis, Minnesota. You can contact this provider via phone number 6123333381 and fax number 6123343318. The mailing address for Michael K Sutley Dds Pa is 825 Nicollet Mall, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michael K Sutley Dds Pa |
|---|---|
| Address | 825 Nicollet Mall, Minneapolis, Minnesota |
| Phone Number | 6123333381 |
| Fax Number | 6123343318 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Sutley K Michael |
| Credentials | DDS |
| Telephone Number | 6123333381 |
NPI Number Detail
| NPI Number | 1497890594 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 825 Nicollet Mall |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554022606 |
| Phone Number | 6123333381 |
| Fax Number | 6123343318 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | D9086 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41426OR | MN | BLUE CROSS BLUE SHIELD | |
| 8080107 | MN | MEDICA MEDICAL | |
| 1007972 | MN | PREFERRED ONE | |
| 8622286 | MN | MEDICA DENTAL |
Post Comment/ Review Below
What is the unique identifier code issued to Michael K Sutley Dds Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Michael K Sutley Dds Pa has been assigned the NPI (National Provider Identifier) 1497890594. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Michael K Sutley Dds Pa?
The Michael K Sutley Dds Pa is situated at 825 Nicollet Mall, in the city of Minneapolis, state of MN, with the zip code 554022606.
What is Michael K Sutley Dds Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michael K Sutley Dds Pa is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.
On what date did Michael K Sutley Dds Pa receive its 1497890594 assignment from the Centers for Medicare & Medicaid Services?
The Michael K Sutley Dds Pa was assigned its 1497890594 on 2007-02-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Michael K Sutley Dds Pa's information last updated?
The Michael K Sutley Dds Pa's information was last updated on 2020-08-22.