Provider Demographics
NPI:1821168188
Name:TUTOR, JOSEPH S (DDS)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:S
Last Name:TUTOR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4820 WEST TAFT ROAD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13088
Mailing Address - Country:US
Mailing Address - Phone:315-451-4900
Mailing Address - Fax:315-451-6192
Practice Address - Street 1:4820 WEST TAFT ROAD
Practice Address - Street 2:SUITE 101 WEST TAFT MEDICAL PARK
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13088
Practice Address - Country:US
Practice Address - Phone:315-451-4900
Practice Address - Fax:315-451-6192
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0439931122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist