Provider Demographics
NPI:1851517007
Name:SUTERA, NANCY TREYZ (DDS)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:TREYZ
Last Name:SUTERA
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 1:190 GOLDENS BRIDGE RD
Mailing Address - Street 2:THE BEDFORD PROFESSIONAL BUILDING
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536-2804
Mailing Address - Country:US
Mailing Address - Phone:914-232-1070
Mailing Address - Fax:
Practice Address - Street 1:190 GOLDENS BRIDGE RD
Practice Address - Street 2:THE BEDFORD PROFESSIONAL BUILDING
Practice Address - City:KATONAH
Practice Address - State:NY
Practice Address - Zip Code:10536-2804
Practice Address - Country:US
Practice Address - Phone:914-232-1070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY401731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice