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:
Health care specialties
Specialty | Code | License # | 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 last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124030085 | NPPES |
Alaska | MEDICAID | DD441 |
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