Organization
JACOB SUTTON, DDS, PA
Active
Other names
Sutton Puryear Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY D CATHEY (OFFICE MANAGER)
(870) 238-3628
Entity
Organization
Contact information
Practice address
715 ELDRIDGE AVE E, WYNNE, AR 72396-4032
(870) 238-3628
(870) 238-0757
Mailing address
715 ELDRIDGE AVE E, WYNNE, AR 72396-4032
(870) 238-3628
(870) 238-0757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3931
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200444608
—
AR
Enumeration date
01/12/2015
Last updated
01/12/2015
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