| Stephen V Sutton Dmd, Pa | |
|
15 W 1st N Downey ID 83234 | |
| (208) 897-5000 | |
| (208) 897-5055 |
| Full Name | Stephen V Sutton Dmd, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15 W 1st N, Downey, Idaho |
| Authorized Official Name and Position | Stephen Vernal Sutton (PRESIDENT) |
| Authorized Official Contact | 2088975000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen V Sutton Dmd, Pa Po Box 225 Downey ID 83234 Ph: (208) 897-5000 | Stephen V Sutton Dmd, Pa 15 W 1st N Downey ID 83234 Ph: (208) 897-5000 |
| NPI Number | 1902170368 |
|---|---|
| Provider Enumeration Date | 03/02/2012 |
| Last Update Date | 06/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902170368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D-3979 (Idaho) | Primary |
D. Porter Sutton, Dmd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 W. 1st N., Downey, ID 83214 Phone: 208-897-5000 Fax: 208-897-5055 |