Provider Demographics
NPI:1841377223
Name:SUTHERLAND, STEVEN HARRY (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:HARRY
Last Name:SUTHERLAND
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 1:1775 E 14 MILE RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-7206
Mailing Address - Country:US
Mailing Address - Phone:248-642-5466
Mailing Address - Fax:248-646-3444
Practice Address - Street 1:1775 E 14 MILE RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-7206
Practice Address - Country:US
Practice Address - Phone:248-642-5466
Practice Address - Fax:248-646-3444
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI133171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice