Stephen V Sutton DMD, PA

Organization Active NPI General Practice Dentistry · Downey, ID

NPI 1902170368 · NPPES record last updated Jun 20, 2018

Key facts

NPI
1902170368
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
D-3979 (ID)
Legal business name
STEPHEN V SUTTON DMD, PA
Practice address
15 W 1St N
Downey, ID 83234
Phone
(208) 897-5000
Fax
(208) 897-5055
NPI assigned
Mar 2, 2012
Organization subpart
No

Authorized official

Name
Dr. Stephen Vernal Sutton, DMD
Title
President
Phone
(208) 897-5000

Practitioners 3

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X D-3979 ID Yes

Addresses

Primary practice location

15 W 1St N
Downey, ID 83234

Mailing address

PO Box 225
Downey, ID 83234
Phone (208) 897-5000

Other providers in Downey, ID

All providers in Downey, ID · General Practice Dentistry in Idaho

Sources for this page

Verify at the official NPI Registry.