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

Dr. Jonathan C Sudol, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1033222583

Dr. Jonathan C Sudol, DMD is an Oral Surgery in Southwick, Massachusetts. Graduated from Temple University School of Medicine in 1998, 28 years ago. Accepts Medicare assignment. Licensed in Massachusetts and New Hampshire.

Years since qualifying
28
Trained at
Temple University School of Medicine
Licensed in
MA, NH
In the registry since
2006
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

664 College Hwy
Southwick, MA 01077-9260
Phone: (413) 642-5250
Fax: (413) 831-6366
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 20461 (MA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 3265 (NH)

Record details

NPI number1033222583
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 17, 2006
Last updated in NPPESMay 11, 2023
Certification dateMay 11, 2023
Mailing address664 College Hwy, Southwick, MA 01077-9260

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare