Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jose Antonio Rivero Sutil, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417212937

Dr. Jose Antonio Rivero Sutil, DMD is a Student in an Organized Health Care Education/Training Program in Bronx, New York. Works from 2 locations. Licensed in Connecticut and New York.

Licensed in
CT, NY
In the registry since
2012
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

4422 3rd Ave
Bronx, NY 10457-2545
Phone: (718) 960-3730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1400 Pelham Pkwy S, Bronx, NY 10461-1138 — (718) 918-3683

Specialties & licences

Dental Anesthesiology (primary) Taxonomy 1223D0004X · Licence 060222 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NY)

Record details

NPI number1417212937
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 10, 2012
Last updated in NPPESJanuary 31, 2020
Certification dateJanuary 31, 2020

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