Individual provider · Type 1 NPI

Jordan Sutherland, DMD

Pediatric Dentistry · Peabody, MA

NPI number 1487396958 Active

Practice location

229 Andover St
Peabody, MA 01960-1539

Mailing address

5 Mount Royal Ave Ste 300
Marlborough, MA 01752-1900

Other practice locations

  • 21 Muzzey St, Lexington, MA 02421-5259 · (781) 861-6120

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Dentistry Primary 1223P0221XDN10000232 (MA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

5 other providers at this address

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About NPI 1487396958

Jordan Sutherland, DMD's National Provider Identifier is 1487396958, issued on Apr 13, 2022. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Peabody, MA. The record was last updated on Jun 7, 2024.