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Contact Information

DOUGLAS P SUTTON, DDS
1598 DELPHIC WAY
SUITE C-1
POCATELLO, ID83201-2285
 Phone: 208-637-1399
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for DOUGLAS P SUTTON · (Male)

NPI # 1710106620
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 04/25/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # D-3209
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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