Jacob Sutton, DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3931 Issued in AR

Legal business name

JACOB SUTTON, DDS, PA

Doing business as

Sutton Puryear Family Dentistry

Practice address

715 Eldridge Ave E
Wynne, AR 72396-4032

Phone

(870) 238-3628

Fax

(870) 238-0757

NPI assigned

Jan 12, 2015

Last updated

Jan 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tiffany D Cathey

Title

Office Manager

Phone

(870) 238-3628

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sutton Puryear Family Dentistry Doing business as

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1528457785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 ELDRIDGE AVE E",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723964032",
            "telephone_number": "870-238-3628",
            "fax_number": "870-238-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 ELDRIDGE AVE E",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723964032",
            "telephone_number": "870-238-3628",
            "fax_number": "870-238-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB SUTTON, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "CATHEY",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-238-3628",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200444608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sutton Puryear Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Dawn Hunt-Thornhill
• Elizabeth Hylle
• Amy E. Jackson, PT, DPT
• Julia Rebecca Meyer Jackson, O.D.
• Neall Clark Jackson, D.D.S.
• James R Jacobs, M.D.
• Jherica James
• Alexandria Gaines Jarrett, MCD, CF-SLP
• Natalie Jarrett
• Merideth L Johnson, LCSW

• General Practice Dentistry in Wynne, AR
• Providers in Wynne, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.