Organization
STEPHEN V SUTTON DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN VERNAL SUTTON DMD (PRESIDENT)
(208) 897-5000
Entity
Organization
Contact information
Practice address
15 W 1ST N, DOWNEY, ID 83234
(208) 897-5000
(208) 897-5055
Mailing address
PO BOX 225, DOWNEY, ID 83234
(208) 897-5000
(208) 897-5055
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3979
ID
Other
Enumeration date
03/02/2012
Last updated
06/20/2018
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