# CEDAR HILLS FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659544427
- **Authorized official:** DR. DAVID MICHAEL SUTTON D.D.S. (PRESIDENT/DENTIST)
- **Authorized official phone:** (208) 233-2230

## Contact information

- **Practice address:** 1525 BANNOCK HWY, POCATELLO, ID 83204-3509
- **Practice address phone:** (208) 233-2230
- **Mailing address:** 1525 BANNOCK HWY, POCATELLO, ID 83204-3509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D-3509 | ID | Yes |

## Other

- **Enumeration date:** 04/11/2008
- **Last updated:** 04/11/2008