Individual provider · Type 1 NPI
Jonathan C. Sudol, DMD
Oral and Maxillofacial Surgery (Dentist) · Southwick, MA
NPI number
1033222583
Active
Practice location
664 College Hwy
Southwick, MA 01077-9260
Fax (413) 831-6366
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 3265 (NH) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 20461 (MA) |
Oral and Maxillofacial Surgery (Dentist): 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.
Another provider at this address
About NPI 1033222583
Jonathan C. Sudol, DMD's National Provider Identifier is 1033222583, issued on Aug 17, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Southwick, MA. The record was last updated on May 11, 2023.