Jonathan W Suttle, is a
Dentist - General Practice based in Okarche, Oklahoma. Jonathan W Suttle is licensed to practice in Oklahoma (license number OK7168) and his current practice location is
501 N. 4th Street, Okarche, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(405) 263-7603.
NPI number for Jonathan W Suttle is 1679130397 and his current mailing address is Po Box 796, Okarche, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679130397.
Healthcare Provider's Profile
| Full Name | Jonathan W Suttle |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 501 N. 4th Street, Okarche, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679130397
- Provider Enumeration Date: 05/29/2019
- Last Update Date: 05/29/2019
Medical Identifiers
Medical identifiers for Jonathan W Suttle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679130397 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | OK7168 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonathan W Suttle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jonathan W Suttle,
Po Box 796,
Okarche, OK 73762-0796
Ph: (405) 263-7603 | Jonathan W Suttle,
501 N. 4th Street,
Okarche, OK 73762-0796
Ph: (405) 263-7603 |
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