Devon Sutton, RDH

Individual provider Active NPI Dental Hygienist · Firestone, CO

NPI 1295400489 · NPPES record last updated Aug 10, 2021

Key facts

NPI
1295400489
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
002025999 (CO)
Practice address
6160 Firestone Blvd Unit 105
Firestone, CO 80504-6431
Phone
(303) 532-3371
NPI assigned
Aug 10, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
002025999COMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Firestone Dental Care, LLC Past
since Aug 15, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 002025999 CO Yes

Addresses

Primary practice location

6160 Firestone Blvd Unit 105
Firestone, CO 80504-6431

Mailing address

1855 Lefthand Creek LN Apt D112
Longmont, CO 80501-6892
Phone (928) 890-7174

Other providers in Firestone, CO

All providers in Firestone, CO · Dental Hygienist in Colorado

Sources for this page

Verify at the official NPI Registry.