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NPI Code Detail

MEDICARE: DR. VESNA S SUTTER DDS

MEDICARE: DR. VESNA S SUTTER DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry019-020137IL

General Provider Information

NPI Number : 1538235098
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VESNA S SUTTER DDS
Provider Business Mailing Address
First Line : 502 E STATE ST
Second Line : SUNRISE DENTAL CARE
City : GENEVA
State : IL
Zip : 60134-2363
Country : US
Telephone Number : 630-232-6334
Fax Number : 630-232-6369
Provider Business Practice Location Address
First Line : 7728 W NORTH AVE
Second Line :
City : ELMWOOD PARK
State : IL
Zip : 60707-4124
Country : US
Telephone Number : 773-745-8300
Fax Number : 630-232-6369
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2006
Last Update Date : 12/16/2020

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Directions to “ DR. VESNA S SUTTER DDS” Practice Location

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