Individual
ROBERT SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4912 SOUTHFORK DR, LAKELAND, FL 33813-2042
(863) 648-5353
(863) 648-5253
Mailing address
4912 SOUTHFORK DR, LAKELAND, FL 33813-2042
(863) 648-5353
(863) 648-5253
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11529
FL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
10/31/2013
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