Individual
DR. JAMES MICHAEL SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1802 ROCKINGHAM AVE, BOWLING GREEN, KY 42104-3348
(270) 783-0064
(270) 901-1997
Mailing address
1802 ROCKINGHAM AVE, BOWLING GREEN, KY 42104-3348
(270) 783-0064
(270) 901-1997
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
7275
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7275
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100070660
—
KY
05
—
710009086
—
KY
Enumeration date
03/14/2006
Last updated
09/21/2021
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