Provider Demographics
NPI:1235338070
Name:SAHUTSKE, DANUTA (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANUTA
Middle Name:
Last Name:SAHUTSKE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6875 HUBBARD RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48348-2823
Mailing Address - Country:US
Mailing Address - Phone:248-766-9120
Mailing Address - Fax:
Practice Address - Street 1:91 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MI
Practice Address - Zip Code:48371-4979
Practice Address - Country:US
Practice Address - Phone:248-628-2540
Practice Address - Fax:248-628-2462
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI14804122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1184761322OtherNPI GROUP PRACTICE NUMBER