T Shaun Sutherland, Dds | |
1653 E 2nd St Casper WY 82601-3001 | |
(307) 234-6033 | |
Not Available |
Full Name | T Shaun Sutherland, Dds |
---|---|
Speciality | Dentist - General Practice |
Location | 1653 E 2nd St, Casper, Wyoming |
Authorized Official Name and Position | Timothy Sutherland (OWNER) |
Authorized Official Contact | 3074731502 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
T Shaun Sutherland, Dds 1653 E 2nd St Casper WY 82601-3001 Ph: (307) 234-6033 | T Shaun Sutherland, Dds 1653 E 2nd St Casper WY 82601-3001 Ph: (307) 234-6033 |
NPI Number | 1093340994 |
---|---|
Provider Enumeration Date | 03/11/2020 |
Last Update Date | 03/11/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093340994 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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