Sutton Dental Arts LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6820 Issued in IN

Legal business name

SUTTON DENTAL ARTS LLC

Practice address

1729 W Harvard Ave
#5
Roseburg, OR 97470-2788

Phone

(541) 672-4971

Fax

(541) 673-7200

NPI assigned

Jul 13, 2005

Organization subpart

No

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

Authorized official

Name

Mr. David Wayne Sutton, DDSNPI 1376988485

Title

Owner/Dentist

Phone

(541) 672-4971

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Wayne Sutton, D.D.S.

  • General Practice Dentistry
  • Roseburg, OR
  • NPI 1376988485
  NPD (past) Authorized official

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790783686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 W HARVARD AVE",
            "address_2": "#5",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702788",
            "telephone_number": "541-672-4971",
            "fax_number": "541-673-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 W HARVARD AVE",
            "address_2": "#5",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702788",
            "telephone_number": "541-672-4971",
            "fax_number": "541-673-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTON DENTAL ARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "541-672-4971",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "D6820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Michelle Sulffridge, CPM
• Piper Sullivan, MA, LPC
• Lindsay M Sunkler
• Heather Surgeon
• Sustainable Enterprises Inc
• David Wayne Sutton, D.D.S.
• Rachel Sutton, RDH, BS, M.ED
• Juliet Swan, COUNSELOR
• Cherish S Sweeden, RDH
• Laurilee Sweeney

• General Practice Dentistry in Roseburg, OR
• Providers in Roseburg, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.