Mark A. Sutor, DDS MSD

Periodontics · Bloomington, IN

Individual Active NPI

NPI number 1265565253

Practice location

379 S Park Ridge Rd
Bloomington, IN 47401-8574
Phone
(812) 333-4550
Fax
(812) 333-5789

Open in Google Maps

NPI record

NPI
1265565253
Entity type
Individual (Type 1)
Enumeration date
March 13, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X 12009269 IN

About Mark Sutor

Mark A. Sutor, DDS MSD is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 379 S Park Ridge Rd, Bloomington, IN 47401-8574. The NPI number 1265565253 was assigned on March 13, 2007 and the record was last updated on July 8, 2007.

Mark Sutor lists a license in the registry: #12009269 (IN) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark A. Sutor, DDS MSD?

The NPI number is 1265565253.

What is the phone number of Mark Sutor?

The phone number listed for the practice location is (812) 333-4550.

Where is Mark Sutor located?

379 S Park Ridge Rd, Bloomington, IN 47401-8574.

What is the taxonomy code for Mark Sutor?

The primary taxonomy code is 1223P0300X – Periodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Periodontics providers in Bloomington

All Periodontics providers in Bloomington, IN →