Individual
DR. STEVEN JEREMY SUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
202 W PARK AVE, LONG BEACH, NY 11561-3212
(516) 442-7722
Mailing address
202 W PARK AVE, LONG BEACH, NY 11561-3212
(516) 442-7722
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
50 052330
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
052330
NY
Other
Enumeration date
04/10/2009
Last updated
03/30/2017
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