Dr. Jacob Alan Sutton, DDS
Dentist in Wynne, AR. Individual provider (NPI-1).
NPI number1487093019
StatusActive
Last updated in NPPESJun 17, 2013
Details
- NPI
- 1487093019
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jacob Alan Sutton
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 17, 2013
- Last updated
- Jun 17, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 3931 | AR | Yes |
Practice location
715 Eldridge Ave EWynne, AR 72396-4032
Phone 870-238-3628 · Fax 870-238-0757
Mailing address
715 Eldridge Ave EWynne, AR 72396-4032
Phone 870-238-3628 · Fax 870-238-0757
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