Provider Demographics
NPI:1154766582
Name:SAUTER, DONALD (DDS)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:
Last Name:SAUTER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1932 GIRL SCOUT CAMP RD
Mailing Address - Street 2:
Mailing Address - City:BRUCETON MILLS
Mailing Address - State:WV
Mailing Address - Zip Code:26525-6534
Mailing Address - Country:US
Mailing Address - Phone:304-216-2876
Mailing Address - Fax:
Practice Address - Street 1:WEST VIRGINIA UNIVERSITY SCHOOL OF DENTISTRY
Practice Address - Street 2:ROBERT C. BYRD HEALTH SCIENCES CENTER
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26506-9495
Practice Address - Country:US
Practice Address - Phone:304-293-2612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-29
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV23981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice