Individual provider Active NPI

Robert Lexington Sutton III, DMD

  • Dentist
  • Gulfport, MS
National Provider Identifier
1205840824
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3383 Issued in MS
Practice address
15503 Oak LN # 300B
Gulfport, MS 39503-2697
Phone
(228) 832-3231
Fax
(228) 832-3508
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3383 MS
Dentist 122300000X 3383 MS Primary

Addresses

Primary practice location

15503 Oak LN # 300B
Gulfport, MS 39503-2697

Mailing address

15503 Oak LN # 300B
Gulfport, MS 39503-2697
Phone (228) 832-3231

Other practice location 1

232A Eisenhower Dr
Biloxi, MS 39531-3601
Phone (228) 388-9551

Other names 1

  • Dr. Robert L Sutton Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240102004018 TX Order and Referring Only - DentistPractitioner - Dentist 4284954637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3383MSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Dental Care, PLLC General Practice CurrentSince Jun 9, 2024 Accepting new patients
Gulf Coast Dental Care of Biloxi PLLC PastSince May 26, 2024 Accepting new patients
The Dental Plaza, PA General Practice Past Accepting new patients

Locations

15503 Oak Ln
#300B
Gulfport, MS 39503
Phone (228) 832-3231

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1205840824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15503 OAK LN # 300B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032697",
            "telephone_number": "228-832-3231",
            "fax_number": "228-832-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15503 OAK LN # 300B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032697",
            "telephone_number": "228-832-3231",
            "fax_number": "228-832-3508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "232A Eisenhower Dr",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395313601",
            "country_code": "US",
            "telephone_number": "228-388-9551",
            "fax_number": "228-388-9552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "ROBERT",
        "middle_name": "LEXINGTON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3383",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "3383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "SUTTON",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.