Provider Demographics
NPI:1356365332
Name:SUTER, FREDERICK HARVEY (DDS)
Entity type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:HARVEY
Last Name:SUTER
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 1:55 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-3007
Mailing Address - Country:US
Mailing Address - Phone:585-872-2797
Mailing Address - Fax:585-872-5571
Practice Address - Street 1:55 NORTH AVE
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-3007
Practice Address - Country:US
Practice Address - Phone:585-872-2797
Practice Address - Fax:585-872-5571
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027190122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist