# EDWARD G. SUTTER DDS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Seneca Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093142929
- **Authorized official:** DR. EDWARD GEORGE SUTTER SR. DDS (OWNER)
- **Authorized official phone:** (206) 323-7659

## Contact information

- **Practice address:** 1422 SENECA ST, SEATTLE, WA 98101-2830
- **Practice address phone:** (206) 323-7659
- **Practice address fax:** (206) 323-4668
- **Mailing address:** 1422 SENECA ST, SEATTLE, WA 98101-2830
- **Mailing address phone:** (206) 323-7659
- **Mailing address fax:** (206) 323-4668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE2853 | WA | — |
| 1223G0001X | General Practice Dentistry | DE2891 | WA | Yes |
| 1223G0001X | General Practice Dentistry | DE8997 | WA | — |
| 1223P0300X | Periodontics | DE4402 | WA | — |
| 124Q00000X | Dental Hygienist | DH1320 | WA | — |
| 124Q00000X | Dental Hygienist | DH60180349 | WA | — |
| 126800000X | Dental Assistant | D160028280 | WA | — |
| 126800000X | Dental Assistant | D160029707 | WA | — |
| 126800000X | Dental Assistant | D160030003 | WA | — |
| 126800000X | Dental Assistant | D160274140 | WA | — |

## Other

- **Enumeration date:** 10/09/2013
- **Last updated:** 10/09/2013