Provider Demographics
NPI:1003208984
Name:SAUTER ORTHODONTICS
Entity Type:Organization
Organization Name:SAUTER ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-264-3998
Mailing Address - Street 1:1075 E PACIFIC COAST HWY
Mailing Address - Street 2:SUITE D
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-5089
Mailing Address - Country:US
Mailing Address - Phone:714-264-3998
Mailing Address - Fax:909-985-6506
Practice Address - Street 1:1075 E PACIFIC COAST HIGHWAY
Practice Address - Street 2:SUITE D
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806
Practice Address - Country:US
Practice Address - Phone:714-264-3998
Practice Address - Fax:909-985-6506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-02
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA204561223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty