Provider Demographics
NPI:1952482986
Name:BENJAMIN F CRAVATT DDS & STEVEN J SUTHERLAND DDS INC
Entity Type:Organization
Organization Name:BENJAMIN F CRAVATT DDS & STEVEN J SUTHERLAND DDS INC
Other - Org Name:TORRANCE DENTAL ARTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SUTHERLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-378-8209
Mailing Address - Street 1:6226 E SPRING ST STE 230
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-1457
Mailing Address - Country:US
Mailing Address - Phone:562-421-3336
Mailing Address - Fax:562-429-4529
Practice Address - Street 1:23326 HAWTHORNE BLVD STE 190
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-3753
Practice Address - Country:US
Practice Address - Phone:310-378-8209
Practice Address - Fax:310-375-1718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty