DR. IAN THOR SUTHERLAND DDS
NPI 1558928655
Dentist in Jbsa Lackland, TX

Active since May 23, 2019
2133 PEPPERRELL ST, JBSA LACKLAND, TX 78236(330) 354-6250 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 11, 2023, Dec 10, 2020, May 23, 2019 (3 updates tracked since 2019).

  • Individual
  • Male
  • Dentist

About IAN SUTHERLAND

This page provides the complete NPI Profile along with additional information for Ian Sutherland, a provider established in Jbsa Lackland, Texas with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1558928655 assigned on May 2019. The practitioner's primary taxonomy code is 122300000X with license number DEN-DEN-LIC-19483 (MT). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1558928655 Verify this NPI
Provider Name
DR. IAN THOR SUTHERLAND DDS
Gender
Male
Entity Type
Individual
Location Address
2133 PEPPERRELL ST JBSA LACKLAND, TX 78236
Location Phone
(330) 354-6250
Mailing Address
3625 9TH AVE S GREAT FALLS, MT 59405
Mailing Phone
(330) 354-6250
Is Sole Proprietor?
Yes
Enumeration Date
05-23-2019
Last Update Date
08-11-2023
Code Navigator

A dentist like Ian Sutherland is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Secondary Locations

  • 4881 Sugar Maple Dr
    Wright Pat, OH 45433
    (937) 257-0837
  • 7300 N Perimeter Rd
    Malmstrom AFB, MT 59402
    (406) 731-2528

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
DEN-DEN-LIC-19483
License State
MT
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

(OH)
2390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

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Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Dentist (Prosthodontics)
2133 PEPPERRELL ST, BUILDING 3352
LACKLAND AFB, TX 78236
Dentist (General Practice)
2133 PEPPERRELL ST
SAN ANTONIO, TX 78236
Dentist (Periodontics)
2133 PEPPERRELL ST
LACKLAND AFB, TX 78236
Dentist
2133 PEPPERRELL ST
JBSA LACKLAND, TX 78236
Dentist (Periodontics)
2133 PEPPERRELL ST
JBSA LACKLAND, TX 78236
Dentist (Orthodontics and Dentofacial Orthopedics)
2133 PEPPERRELL ST
LACKLAND AFB, TX 78236
Dentist
2133 PEPPERRELL ST
LACKLAND AFB, TX 78236
Dentist
2133 PEPPERRELL ST
SAN ANTONIO, TX 78236
Dentist
2133 PEPPERRELL ST
JBSA LACKLAND, TX 78236
Dentist
2133 PEPPERRELL ST
JBSA LACKLAND, TX 78236
Dentist (General Practice)
2133 PEPPERRELL ST
JBSA LACKLAND, TX 78236
Dentist
2133 PEPPERRELL ST
JBSA LACKLAND, TX 78236
Dentist (Prosthodontics)
2133 PEPPERRELL ST
JBSA LACKLAND, TX 78236
Dentist (Periodontics)
2133 PEPPERRELL ST
SAN ANTONIO, TX 78236
Dentist (Orthodontics and Dentofacial Orthopedics)
2133 PEPPERRELL ST
JBSA LACKLAND, TX 78236

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558928655, enumerated as an "individual" on May 23, 2019.

The provider is located at 2133 PEPPERRELL ST JBSA LACKLAND, TX 78236 and the phone number is (330) 354-6250.

Dentist with taxonomy code 122300000X.