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Active NPI 1295013662 Individual Practitioner Male Practitioner

Dr. Charles Sutera , DMD

Dentist - General Practice • Waltham, MA

Professional Overview & Biography Verified Profile Summary

Dr. Charles Sutera, DMD is a registered healthcare professional specializing in Dentist - General Practice in Waltham, MA. Practice services are available at 75 3RD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

75 3rd Ave

Waltham, MA 024517549

Telephone 7814871111
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Waltham, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
35 Specialists

Practicing in Waltham, MA (3722 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA DN1855853

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License ME DEN4207

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.

Secondary Practice Locations

171 Maine Mall Rd

South Portland, ME 041062310

Phone: 2077751551

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 22, 2018

Registered at 75 3RD AVE, WALTHAM, MA 024517549 (Tel: 7814871111)

📍
Updated Business Mailing Address December 22, 2018

Registered at 20 ROOSEVELT RD, MEDFORD, MA 021552519 (Tel: 9783148974)

NPI Profile Active August 02, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 02, 2011

Registered at 171 MAINE MALL RD, SOUTH PORTLAND, ME 041062310 (Tel: 2077751551)

📍
Updated Business Mailing Address August 02, 2011

Registered at 281 SANDERS CREEK PKWY, EAST SYRACUSE, NY 130571307 (Tel: 3154546000)

👤
Provider Name / Credentials Updated August 02, 2011

Recorded as CHARLES SUTERA, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2011

Dentist (License #DEN4207 in ME)

🟢
Initial NPI Registration & Enumeration August 02, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295013662
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2011
Last Update: December 22, 2018
Sole Proprietor: No

Mailing Address

20 Roosevelt Rd

Medford, MA 021552519

Phone: 9783148974

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.