Active NPI
DRS Sutlle & Pierce PA
- Periodontics
- Winston Salem, NC
National Provider Identifier
1295860690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 6929
- Legal business name
- DRS SUTLLE & PIERCE PA
- Practice address
- 2870 Lyndhurst Ave
Winston Salem, NC 27103-4110 - Phone
- (336) 765-9224
- Fax
- (336) 765-2340
- NPI assigned
- Feb 23, 2007
- Organization subpart
- Yes
- Parent organization
- W. MARK SUTTLE, DDS, MS, PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Mark Suttle, DDS MS
- Title
- President/Owner
- Phone
- (336) 765-9224
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 6929 | NC | Primary |
Addresses
Primary practice location
2870 Lyndhurst Ave
Winston Salem, NC 27103-4110
Mailing address
2870 Lyndhurst Ave
Winston Salem, NC 27103-4110
Phone (336) 765-9224
Other names 2
- Dudley C Chandler DDS & W Mark Suttle DDS PA
- W Mark Suttle DDS MS PA
National Provider Directory
National Provider Directory- Part of
- DRS Sutlle Pierce PA
Locations
2870 Lyndhurst Ave
Winston Salem, NC 27103
Phone (336) 765-9224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614902400000",
"number": "1295860690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2870 LYNDHURST AVE",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271034110",
"telephone_number": "336-765-9224",
"fax_number": "336-765-2340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2870 LYNDHURST AVE",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271034110",
"telephone_number": "336-765-9224",
"fax_number": "336-765-2340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS SUTLLE & PIERCE PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "W. MARK SUTTLE, DDS, MS, PA",
"enumeration_date": "2007-02-23",
"last_updated": "2021-03-05",
"certification_date": "2021-03-05",
"status": "A",
"authorized_official_last_name": "SUTTLE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "336-765-9224",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS MS"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "NC",
"license": "6929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dudley C Chandler DDS & W Mark Suttle DDS PA",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Dudley C Chandler DDS & W Mark Suttle DDS PA",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "W Mark Suttle DDS MS PA",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Winston Salem, NC
- DRS Gough & Latham
- DRS Holder & Michel PLLC
- DRS J Loveland and R Walker II, PLLC
- DRS J Loveland and R Walker V, PLLC
- DRS Reimels and Roberts PLLC
- DRS. Bailey, Peoples, & Oghalai, P.a.
- DRS. Chermak and Hanson, a N.C. General Partnership
- DRS. Harris and Gambill, P.a.
- DRS. Miller & Miller PA
- DRS. Moser and Gallisdorfer,PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.