Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ian Thor Sutherland, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558928655

Dr. Ian Thor Sutherland, DDS is a Student in an Organized Health Care Education/Training Program in Jbsa Lackland, Texas. Practices as a sole proprietor and works from 3 locations. Licensed in Montana and Ohio.

Licensed in
MT, OH
In the registry since
2019
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2133 Pepperrell St
Jbsa Lackland, TX 78236-5313
Phone: (330) 354-6250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7300 N Perimeter Rd, Malmstrom Afb, MT 59402-6701 — (406) 731-2528
  • 4881 Sugar Maple Dr, Wright Pat, OH 45433-5529 — (937) 257-0837

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DEN-DEN-LIC-19483 (MT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558928655
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 23, 2019
Last updated in NPPESAugust 11, 2023
Certification dateAugust 11, 2023
Mailing address3625 9th Ave S, Great Falls, MT 59405-3433

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