1. Home
  2. Directory
  3. Massachusetts
  4. Waltham
  5. Dentist
  6. NPI Profile

DR. CHARLES SUTERA III DMD
NPI 1295013662
Dentist - General Practice in Waltham, MA

Active since August 02, 2011

NPPES record last updated: December 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Charles Sutera Iii Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES SUTERA III DMD (NPI 1295013662) is an individual general practice provider in Waltham, Massachusetts, licensed in Massachusetts (DN1855853) and active in the NPI registry since August 2011. He maintains a secondary practice location in South Portland.

NPPES Registry Identity

NPI1295013662
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CHARLES SUTERA IIICredential: DMD
Location Address75 3RD AVEWaltham, MA 02451-7549
Mailing Address20 Roosevelt RdMedford, MA 02155-2519 · (978) 314-8974
Phone(781) 487-1111
Sole ProprietorNo
Enumeration DateAugust 2, 2011
Last NPPES UpdateDecember 22, 2018
✔ NPI 1295013662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in MA · DN1855853✔ Licensed in ME · DEN4207
Definition
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.
75 3RD AVE, Waltham, MA 02451
Open in Google Maps ↗

Secondary Practice Location 1

Location 1171 Maine Mall RdSouth Portland, ME 04106-2310 · Phone (207) 775-1551

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Sutera's NPI number?

The NPI number for Charles Sutera is 1295013662. It was assigned to this individual provider in the NPPES registry on August 2, 2011.

Where is Charles Sutera located?

Charles Sutera practices at 75 3rd Ave, Waltham, MA 02451. The listed phone number is (781) 487-1111.

What is Charles Sutera's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Charles Sutera accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Charles Sutera as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Sutera was last updated on December 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.