Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205114311 Individual Practitioner Male Practitioner

Dr. Scott Glenn Sutter , DDS

Dentist - Endodontics • Sparks, NV

Professional Overview & Biography Verified Profile Summary

Dr. Scott Sutter, DDS is a registered healthcare professional specializing in Dentist - Endodontics in Sparks, NV. Practice services are available at 4840 VISTA BLVD STE 108 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4840 Vista Blvd Ste 108

Sparks, NV 894362850

Telephone 7752364950
Fax 7752361815
Associated Practice Facility / Clinic
🏢 Shanna K. Kim Dds, Pllc Facility NPI 1437976867

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Sparks, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Sparks, NV (66 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

CMS Verified: 2020-10-06
Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License NV S7-84C

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Secondary Practice Locations

606 24th Ave S Ste 200

Minneapolis, MN 554541437

Phone: 6126598689

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Cameron Green , BCBA

Behavior Analyst

NPI 1215440474

Board Certified Behavior Analyst

Dr. Shanna Kim , DDS

Dentist - Orofacial Pain

NPI 1710282272

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 06, 2020

Registered at 4840 VISTA BLVD STE 108, SPARKS, NV 894362850 (Tel: 7752364950)

📍
Updated Business Mailing Address October 06, 2020

Registered at 4840 VISTA BLVD STE 108, SPARKS, NV 894362850 (Tel: 7752364950)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2020

Dentist (License #S7-84C in NV)

NPI Profile Active July 25, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location July 25, 2011

Registered at 606 24TH AVE S STE 200, MINNEAPOLIS, MN 554541437 (Tel: 6126598689)

📍
Updated Business Mailing Address July 25, 2011

Registered at 4143 MEADOW WOOD DR, EL DORADO HILLS, CA 957627525 (Tel: 9162171284)

👤
Provider Name / Credentials Updated July 25, 2011

Recorded as SCOTT SUTTER, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2011

Dentist (License #R512 in MN)

🟢
Initial NPI Registration & Enumeration July 25, 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: 1205114311
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2011
Last Update: October 06, 2020
Sole Proprietor: Yes

Mailing Address

4840 Vista Blvd Ste 108

Sparks, NV 894362850

Phone: 7752364950

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.