Individual provider · Type 1 NPI
Charles Sutera Iii, DMD
General Practice Dentistry · Waltham, MA
NPI number
1295013662
Active
Practice location
75 3rd Ave
Waltham, MA 02451-7549
Mailing address
20 Roosevelt Rd
Medford, MA 02155-2519
Other practice locations
- 171 Maine Mall Rd, South Portland, ME 04106-2310 · (207) 775-1551
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN4207 (ME) |
| General Practice Dentistry Primary | 1223G0001X | DN1855853 (MA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1295013662
Charles Sutera Iii, DMD's National Provider Identifier is 1295013662, issued on Aug 2, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Waltham, MA. The record was last updated on Dec 22, 2018.