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Michael K Sutley Dds Pa
Oral and Maxillofacial Surgery (Dentist) in Minneapolis, Minnesota
NPI 1497890594

Michael K Sutley Dds Pa is a Oral and Maxillofacial Surgery (Dentist) based in Minneapolis, MN and is specialized in Oral and Maxillofacial Surgery. Michael K Sutley Dds Pa practices in Minneapolis, MN. The NPI Number for Michael K Sutley Dds Pa is 1497890594 and holds a License No. D9086 (Minnesota).

The current practice location address for Michael K Sutley Dds Pa is 825 Nicollet Mall, Minneapolis, MN and can be reached out via phone at 612-333-3381 and via fax at 612-334-3318.

Location: 825 Nicollet Mall, Minneapolis, MN, 55402-2606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497890594
Provider Name
Michael K Sutley Dds Pa
Credential
Provider Entity Type
Organization
Address
825 Nicollet Mall, Minneapolis, MN, 55402-2606
Phone Number
612-333-3381
Fax Number
612-334-3318
Provider Enumeration Date
02/20/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
41426OR 01 MN BLUE CROSS BLUE SHIELD
8080107 01 MN MEDICA MEDICAL
01007972 01 MN PREFERRED ONE
8622286 01 MN MEDICA DENTAL
institution
Provider Business Practice Location Address Details
Address
825 Nicollet Mall
City
Minneapolis
State
Minnesota
Zip
55402-2606
Phone Number
612-333-3381
Fax Number
612-334-3318
person
Provider Business Mailing Address Details
Address
825 Nicollet Mall
City
Minneapolis
State
Minnesota
Zip
55402-2606
Phone Number
612-333-3381
Fax Number
612-334-3318
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
D9086 (Minnesota)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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