| T Shaun Sutherland, Dds | |
|
1653 E 2nd St Casper WY 82601-3001 | |
| (307) 234-6033 | |
| Not Available |
| Full Name | T Shaun Sutherland, Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1653 E 2nd St, Casper, Wyoming |
| Authorized Official Name and Position | Timothy Sutherland (OWNER) |
| Authorized Official Contact | 3074731502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T Shaun Sutherland, Dds 1653 E 2nd St Casper WY 82601-3001 Ph: (307) 234-6033 | T Shaun Sutherland, Dds 1653 E 2nd St Casper WY 82601-3001 Ph: (307) 234-6033 |
| NPI Number | 1093340994 |
|---|---|
| Provider Enumeration Date | 03/11/2020 |
| Last Update Date | 03/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093340994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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