NPI Code Details Logo

NPI 1811984339

NPI 1811984339 : ALAN J SUTTON DDS : SEATTLE, WA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1811984339
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ALAN J SUTTON DDS
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/30/2005
-----------------------------------------------------
    Last Update Date     |    10/23/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1959 NE PACIFIC ST RM D458 
-----------------------------------------------------
    City                 |    SEATTLE
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98195-1540
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    206-543-5919
-----------------------------------------------------
    Fax                  |    206-543-7783
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1959 NE PACIFIC ST BOX 357191
-----------------------------------------------------
    City                 |    SEATTLE
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98195-0001
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    206-543-5919
-----------------------------------------------------
    Fax                  |    206-685-9654
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1223P0700X
-----------------------------------------------------
    Taxonomy Name        |    Prosthodontics
-----------------------------------------------------
    License Number       |    14700
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    1223P0700X
-----------------------------------------------------
    Taxonomy Name        |    Prosthodontics
-----------------------------------------------------
    License Number       |    DE61191466
-----------------------------------------------------
    License Number State |    WA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.