Individual
DR. SAMANTHA JEAN SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1303 STATE ST, MOUND CITY, MO 64470-1717
(660) 442-5464
Mailing address
718 CHERRY ST, CHILLICOTHE, MO 64601-2210
(660) 973-3615
(660) 646-3907
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2007017222
MO
1223D0001X
Public Health Dentistry
2007017222
MO
1223G0001X
General Practice Dentistry
2007017222
MO
Other
Enumeration date
07/12/2007
Last updated
07/05/2023
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