NPI 1902170368

Stephen V Sutton DMD, PA

Organisation General Practice Dentistry Downey, ID

Practice location

Address: 15 W 1st N, Downey, ID 83234
Phone: (208) 897-5000
Fax: (208) 897-5055
Mailing address: PO Box 225, Downey, ID 83234

Authorised official

Name: Stephen Vernal Sutton
Title: President
Phone: (208) 897-5000

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D-3979 (ID)

Other Dentist providers in Idaho →

Registry record

NPI: 1902170368
Entity type: Organization
NPI issued: 2 Mar 2012
Record last updated: 20 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.