Sutley, Stephen H

Sutley, Stephen H is an individual health care provider with primary practice located at 1275 Sadler Way Suite 202, Fairbanks AK 99701-3171. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Sutley, Stephen H can be contacted via phone (907) 452-4101.

Contact Information

Primary practice address
1275 Sadler Way Suite 202 Fairbanks AK 99701-3171
Phone: (907) 452-4101
Fax: (907) 452-4102
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 9881 Kentucky
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 106 Alaska

Profile Details

NPI number 1124030085
LBN Legal business name Sutley, Stephen H
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124030085 NPPES
Alaska MEDICAID DD441

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