DR. COLE ADAM SUTAK (NPI# 1922591510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922591510 |
| Entity Type | Individual |
| Full Name | DR. COLE ADAM SUTAK |
| Credential | DMD |
| Practice Address |
4610 North St Ste 101 Nacogdoches TX 75965-1841 |
| Mailing Address |
20215 N 61st Ave Glendale AZ 85308-6714 |
| Practice Telephone | 9365600900 |
| Practice Fax Number | 9365600902 |
| Mailing Telephone | 7195805057 |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
34104 | TX | Dental Providers |
| Street Address |
4610 NORTH ST STE 101 |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75965-1841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154982148 | Ashley Thai | Dentist | 4610 North St Ste 101, Nacogdoches, TX 75965-1841 | 2019-06-21 |
| 1932692530 | Jordan Allen Taylor | Dentist | 4610 North St Ste 101, Nacogdoches, TX 75965-1841 | 2018-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649839135 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3824 N University Drive, Suite 103, Nacogdoches, TX 75965 | 2019-06-10 |
| 1518520493 | Billy Jobe | Pharmacist | 917 East Austin, Nacogdoches, TX 75965 | 2019-04-17 |
| 1295217610 | Sarah Ponder | Registered Nurse | 625 Woodway Lane, Nacogdoches, TX 75965 | 2018-09-01 |
| 1083107684 | Aakash Deep Gupta | Dentist | 4610 North St Ste 101b, Nacogdoches, TX 75965 | 2018-06-08 |
| 1679097455 | Emily Morris Taravella | Counselor | 3524 Ne Stallings Drive, Nacogdoches, TX 75965 | 2017-08-02 |
| 1457809949 | Kassey Osborn | Nurse Practitioner | 4920 Ne Stallings Dr., Nacogdoches Medical Center, Nacogdoches, TX 75965 | 2016-09-14 |
| 1629426747 | Lisa Greathouse | Technician, Other | 500 Chincapin, Westville, OK 75965 | 2016-05-31 |
| 1457741704 | Nuch of Texas | Pediatrics | 1305 North Street, Nacogdoches, TX 75965 | 2015-01-26 |
| 1730506031 | Benjamin Patrick Thompson | Obstetrics & Gynecology | 4800 Ne Stallings Dr Ste 106, Nacogdoches, TX 75965 | 2014-03-25 |
| 1255761813 | Kallie Krawietz | Counselor | 2214 N Pecan Street, Nacogdoches, TX 75965 | 2013-11-19 |
| Find all providers in zip 75965 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083107684 | Aakash Deep Gupta | Dentist | 4610 North St Ste 101b, Nacogdoches, TX 75965 | 2018-06-08 |
| 1215465885 | Sarkar Dental, PC | Dentist | 4909 North St Ste 210, Nacogdoches, TX 75965-1808 | 2017-05-26 |
| 1154607992 | Apex Dental PC | Dentist | 4610 North St, Ste 101, Nacogdoches, TX 75965-1813 | 2011-10-25 |
| 1053690966 | Kimberly Danielle Biggs-lewis | Dentist | 1023 N Mound St Ste D, Nacogdoches, TX 75961-4453 | 2011-08-09 |
| 1922396746 | Matthew Eric Bateman | Dentist | 3205 N University Dr Ste B, Nacogdoches, TX 75965 | 2011-07-13 |
| 1780834226 | Louis E Rector | Dentist | 912 N University Dr, Nacogdoches, TX 75961-4643 | 2008-09-21 |
| 1891810008 | David B. Alexander | Dentist | 1329 N University Dr Ste C1, Nacogdoches, TX 75961-4291 | 2007-03-20 |
| 1225173172 | Ronald G. Theiss | Dentist | 1302 Raguet, Nacogdoches, TX 75965 | 2007-02-20 |
| 1255475257 | Roger Ivan Van Horn | Dentist | 928 N University Dr, Nacogdoches, TX 75961-4643 | 2007-02-16 |
| 1356497440 | Trent M. Erwin | Dentist | 1101 Raguet St, Nacogdoches, TX 75961-4059 | 2007-01-25 |
| Find all providers in NACOGDOCHES | ||||
| City | NACOGDOCHES |
| Zip Code | 75965 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.