Individual provider · Type 1 NPI

Jose Antonio Rivero Sutil, DMD

Dental Anesthesiology · Bronx, NY

NPI number 1417212937 Active

Practice location

4422 3rd Ave
Bronx, NY 10457-2545

Mailing address

4220 24th St Apt 41J
Long Island City, NY 11101-4659

Other practice locations

  • 1400 Pelham Pkwy S, Bronx, NY 10461-1138 · (718) 918-3683

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Dental Anesthesiology Primary 1223D0004X060222 (NY)

Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

660 other providers at this address

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About NPI 1417212937

Jose Antonio Rivero Sutil, DMD's National Provider Identifier is 1417212937, issued on Jul 10, 2012. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Bronx, NY. The record was last updated on Jan 31, 2020.