# CASEY D. SUTHERLAND, DMD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841746427
- **Authorized official:** CASEY D SUTHERLAND DMD (OWNER)
- **Authorized official phone:** (509) 687-9221

## Contact information

- **Practice address:** 160 WAPATO WAY, MANSON, WA 98831
- **Practice address phone:** (509) 687-9221
- **Practice address fax:** (509) 687-9201
- **Mailing address:** PO BOX 405, MANSON, WA 98831-0405
- **Mailing address phone:** (509) 687-9221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 09/01/2016
- **Last updated:** 09/01/2016