Ben a Sutter DMD PC

Primary specialty

DentistTaxonomy code 122300000X

License

D8728 Issued in OR

Legal business name

BEN A SUTTER DMD PC

Practice address

1045 Willagillespie Rd
Suite 150
Eugene, OR 97401-6798

Phone

(541) 683-7500

NPI assigned

Jan 18, 2012

Last updated

Apr 5, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shelly Renee Sutter

Title

Office Manager

Phone

(503) 463-4663

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ben A. Sutter, DMD

  • General Practice Dentistry
  • Keizer, OR
  • NPI 1457426538
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1396016770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 WILLAGILLESPIE RD",
            "address_2": "SUITE 150",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016798",
            "telephone_number": "541-683-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 WILLAGILLESPIE RD",
            "address_2": "SUITE 150",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016798",
            "telephone_number": "541-683-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN A SUTTER DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "SUTTER",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-463-4663"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Eugene, OR
• Providers in Eugene, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.