Jonathan W Suttle
Dentist, General Practice in Okarche, OK. Individual provider (NPI-1).
NPI number1679130397
StatusActive
Last updated in NPPESMay 29, 2019
Details
- NPI
- 1679130397
- Entity type
- Individual (NPI-1)
- Name
- Jonathan W Suttle
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 29, 2019
- Last updated
- May 29, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | OK7168 | OK | Yes |
Practice location
501 N. 4th StreetOkarche, OK 73762-0796
Phone 405-263-7603
Mailing address
Po Box 796Okarche, OK 73762-0796
Phone 405-263-7603
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Other General Practice Dentistry providers in Okarche, OK
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