Dr. Jonathan C Sudol, DMD
Dentist, Oral and Maxillofacial Surgery in Southwick, Massachusetts
1033222583- Practice location
- 664 College Hwy, Southwick, MA 01077-9260
- Phone
- 413-642-5250
- Fax
- 413-831-6366
- Last updated
- May 11, 2023
Jonathan C Sudol is a Dentist, Oral and Maxillofacial Surgery based in Southwick, MA. Jonathan C Sudol practices in Southwick, MA and has the professional credentials of DMD. The NPI Number for Jonathan C Sudol is 1033222583 and holds a License No. 3265 (NH). The current practice location address for Jonathan C Sudol is 664 College Hwy, Southwick, MA 01077-9260 and can be reached out via phone at 413-642-5250 and via fax at 413-831-6366.
Provider Profile Details
- NPI Number
- 1033222583
- Provider Name
- Jonathan C Sudol
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 664 College Hwy, Southwick, MA 01077-9260
- Phone Number
- 413-642-5250
- Fax Number
- 413-831-6366
- Primary Taxonomy
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 17, 2006
- Last Update Date
- May 11, 2023
- Certification Date
- May 11, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 664 College Hwy
Southwick, MA 01077-9260 - City
- Southwick
- State
- Massachusetts
- Zip
- 01077-9260
- Phone Number
- 413-642-5250
- Fax Number
- 413-831-6366
Provider Business Mailing Address Details
- Address
- 664 College Hwy
Southwick, MA 01077-9260 - City
- Southwick
- State
- MA
- Zip
- 01077-9260
- Phone Number
- 413-642-5250
- Fax Number
- 413-831-6366
License Information
- License Number (1)
- 3265
- License State (1)
- NH
- Taxonomy (1)
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- License Number (2)
- 20461
- License State (2)
- MA
- Taxonomy (2)
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Oral and Maxillofacial Surgery providers near Southwick, MA
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Frequently Asked Questions
What is the NPI number of Dr. Jonathan C Sudol, DMD?
The NPI number of Dr. Jonathan C Sudol, DMD is 1033222583. It was assigned on August 17, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Jonathan C Sudol, DMD?
Dr. Jonathan C Sudol, DMD is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in NH under license number 3265.
Where does Dr. Jonathan C Sudol, DMD practice?
The practice location is 664 College Hwy, Southwick, MA 01077-9260. The office can be reached at 413-642-5250 (phone) or 413-831-6366 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033222583 directly on the NPPES registry website.