Sutter Dental PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

019-020137 Issued in IL

Legal business name

SUTTER DENTAL PC

Practice address

7728 W North Ave
Elmwood Park, IL 60707-4124

Phone

(773) 745-8300

NPI assigned

Jul 24, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Vesna S Sutter, DDS

Title

President

Phone

(773) 745-8300

Specialties & licenses 1

Addresses

Other names 1

• Sunrise Dental Partners PC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy J Driscoll, DDS

  • General Practice Dentistry
  • Geneva, IL
  • NPI 1295801611
  NPD (past)

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1811243116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7728 W NORTH AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607074124",
            "telephone_number": "773-745-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7728 W NORTH AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607074124",
            "telephone_number": "773-745-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "SUTTER",
        "authorized_official_first_name": "VESNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-745-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "019-020137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Dental Partners PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Gina Stees, ATC
• Karen Jean Stelling-Farina, LCPC
• Vasiliki E Styliaras, PHARMD
• Samir Suleiman, MD
• Sutter Dental PC
• Vesna S Sutter, DDS
• Shannon Sweezy
• Jaymee Sygaco
• Louis F Taglia, Jr, DDS
• Len Taing

• Durable Medical Equipment & Medical Supplies in Elmwood Park, IL
• Providers in Elmwood Park, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.