Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558928655 Individual Practitioner Male Practitioner

Dr. Ian Thor Sutherland , DDS

Dentist • Jbsa Lackland, TX

Professional Overview & Biography Verified Profile Summary

Dr. Ian Sutherland, DDS is a registered healthcare professional specializing in Dentist in Jbsa Lackland, TX. Practice services are available at 2133 PEPPERRELL ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2133 Pepperrell St

Jbsa Lackland, TX 782365313

Telephone 3303546250

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Jbsa Lackland, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
44 Specialists

Practicing in Jbsa Lackland, TX (6851 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: 2023-08-11
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MT DEN-DEN-LIC-19483

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

4881 Sugar Maple Dr

Wright Pat, OH 454335529

Phone: 9372570837

7300 N Perimeter Rd

Malmstrom Afb, MT 594026701

Phone: 4067312528

Practice Associates & Co-Workers

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

8 Associated Practitioners
Dr. Song Rhim , DMD

Dentist - Periodontics

NPI 1336369750

Doctor of Dental Medicine

NPI 1336775006
NPI 1356144091

Doctor of Dental Medicine

NPI 1518946995

Doctor of Dental Medicine, Master of Science

NPI 1528612132

Doctor of Dental Surgery

Dr. Paul Lee , DDS

Dentist - Prosthodontics

NPI 1629325923

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location August 11, 2023

Registered at 2133 PEPPERRELL ST, JBSA LACKLAND, TX 782365313 (Tel: 3303546250)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2023

Student in an Organized Health Care Education/Training Program

📍
Updated Practice Location December 10, 2020

Registered at 7300 N PERIMETER RD, MALMSTROM AFB, MT 594026701 (Tel: 4067312528)

📍
Updated Business Mailing Address December 10, 2020

Registered at 3625 9TH AVE S, GREAT FALLS, MT 594053433 (Tel: 3303546250)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2020

Dentist (License #DEN-DEN-LIC-19483 in MT)

NPI Profile Active May 23, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 23, 2019

Registered at 4881 SUGAR MAPLE DR, WRIGHT PAT, OH 454335529 (Tel: 9372570837)

📍
Updated Business Mailing Address May 23, 2019

Registered at 4464 STONEGATE DR APT G, BEAVERCREEK, OH 454306602 (Tel: 3303546250)

👤
Provider Name / Credentials Updated May 23, 2019

Recorded as IAN SUTHERLAND, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 23, 2019

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: 1558928655
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2019
Last Update: August 11, 2023
Sole Proprietor: Yes

Mailing Address

3625 9th Ave S

Great Falls, MT 594053433

Phone: 3303546250

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.