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Individual

STEPHEN H SUTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1275 SADLER WAY, SUITE 202, FAIRBANKS, AK 99701-3171
(907) 452-4101
(907) 452-4102
Mailing address
1275 SADLER WAY, SUITE 202, FAIRBANKS, AK 99701-3171
(907) 452-4101
(907) 452-4102

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
106
AK
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
9881
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DD441
AK
Enumeration date
08/12/2006
Last updated
03/07/2023
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