Provider Demographics
NPI:1700093978
Name:SUTER, SCOTT T (DDS,MS)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:T
Last Name:SUTER
Suffix:
Gender:M
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 N ACADEMY BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80917-5332
Mailing Address - Country:US
Mailing Address - Phone:719-550-0222
Mailing Address - Fax:719-380-7892
Practice Address - Street 1:3100 N ACADEMY BLVD STE 200
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80917-5332
Practice Address - Country:US
Practice Address - Phone:719-550-0222
Practice Address - Fax:719-380-7892
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO69821223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics