Individual provider · Type 1 NPI
Mark A. Sutor, DDS MSD
Periodontics · Bloomington, IN
NPI number
1265565253
Active
Practice location
379 S Park Ridge Rd
Bloomington, IN 47401-8574
Fax (812) 333-5789
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 12009269 (IN) |
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.
Other periodontics providers in Bloomington
About NPI 1265565253
Mark A. Sutor, DDS MSD's National Provider Identifier is 1265565253, issued on Mar 13, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Bloomington, IN. The record was last updated on Jul 8, 2007.