MEDICARE: DR. FRANK S SUTHERLAND 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
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	021.002592	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750347886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK S SUTHERLAND DDS

Provider Business Mailing Address
First Line	:	913 S CARRIAGEWAY LN
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60067-7146
Country	:	US
Telephone Number	:	501-318-8708
Fax Number	:

Provider Business Practice Location Address
First Line	:	1044 W RAND RD
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-2339
Country	:	US
Telephone Number	:	847-392-5842
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	01/15/2024

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