# STEPHEN V SUTTON DMD, PA

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

## Provider details

- **NPI number:** 1902170368
- **Authorized official:** DR. STEPHEN VERNAL SUTTON DMD (PRESIDENT)
- **Authorized official phone:** (208) 897-5000

## Contact information

- **Practice address:** 15 W 1ST N, DOWNEY, ID 83234
- **Practice address phone:** (208) 897-5000
- **Practice address fax:** (208) 897-5055
- **Mailing address:** PO BOX 225, DOWNEY, ID 83234
- **Mailing address phone:** (208) 897-5000
- **Mailing address fax:** (208) 897-5055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D-3979 | ID | Yes |

## Other

- **Enumeration date:** 03/02/2012
- **Last updated:** 06/20/2018