Individual provider · Type 1 NPI

Greg W. Sutherland, DDS, M.S., P.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Puyallup, WA

NPI number 1770664310 Active

Practice location

210 4th Ave SW
Puyallup, WA 98371-5863

Fax (253) 841-0792

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X025103DE0004801 (WA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1770664310

Greg W. Sutherland, DDS, M.S., P.S.'s National Provider Identifier is 1770664310, issued on Oct 18, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Puyallup, WA. The record was last updated on Jul 8, 2007.