| D. Porter Sutton, Dmd, Pllc | |
|
15 W. 1st N. Downey ID 83214 | |
| (208) 897-5000 | |
| (208) 897-5055 |
| Full Name | D. Porter Sutton, Dmd, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15 W. 1st N., Downey, Idaho |
| Authorized Official Name and Position | D. Porter Sutton (OWNER) |
| Authorized Official Contact | 2088975000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D. Porter Sutton, Dmd, Pllc Po Box 225 Downey ID 83234-0225 Ph: (208) 897-5000 | D. Porter Sutton, Dmd, Pllc 15 W. 1st N. Downey ID 83214 Ph: (208) 897-5000 |
| NPI Number | 1013107309 |
|---|---|
| Provider Enumeration Date | 08/01/2007 |
| Last Update Date | 08/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013107309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Stephen V Sutton Dmd, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 W 1st N, Downey, ID 83234 Phone: 208-897-5000 Fax: 208-897-5055 |