Active NPI
Sutton Dental Group, Inc.
- Dental Clinic/Center
- Rohnert Park, CA
National Provider Identifier
1508747403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- SUTTON DENTAL GROUP, INC.
- Practice address
- 1330 Medical Center Dr Ste 1
Rohnert Park, CA 94928-2901 - Phone
- (707) 585-2555
- NPI assigned
- Sep 9, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mercedes Figueroa
- Title
- Credentialing Specialist
- Phone
- (623) 289-3392
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1330 Medical Center Dr Ste 1
Rohnert Park, CA 94928-2901
Mailing address
19601 N Black Canyon Hwy Ste 201
Phoenix, AZ 85027-4107
Phone (707) 585-2555
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | RohnertPark |
National Provider Directory
National Provider DirectoryLocations
1330 Medical Center Dr
Ste 1
Rohnert Park, CA 94928
Phone (707) 585-2555
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Rohnert Park, CA
- NPI 1285844894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757376000000",
"number": "1508747403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19601 N BLACK CANYON HWY STE 201",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850274107",
"telephone_number": "707-585-2555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 MEDICAL CENTER DR STE 1",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "949282901",
"telephone_number": "707-585-2555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUTTON DENTAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-09",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A",
"authorized_official_last_name": "FIGUEROA",
"authorized_official_first_name": "MERCEDES",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "623-289-3392"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "RohnertPark",
"affiliation": "N",
"address_1": "1330 Medical Center Dr Ste 1",
"city": "Rohnert Park",
"state": "CA",
"country_code": "US",
"postal_code": "949282901",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rohnert Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.