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NPI Code Detail

MEDICARE: DR. KATHRYN L SUTTON D.D.S

MEDICARE: DR. KATHRYN L SUTTON D.D.S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist30-022388OH

General Provider Information

NPI Number : 1306026414
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHRYN L SUTTON D.D.S
Provider Business Mailing Address
First Line : 419 VERNON ST
Second Line :
City : IRONTON
State : OH
Zip : 45638-1637
Country : US
Telephone Number : 740-532-6542
Fax Number : 740-532-2133
Provider Business Practice Location Address
First Line : 419 VERNON ST
Second Line :
City : IRONTON
State : OH
Zip : 45638-1637
Country : US
Telephone Number : 740-532-6542
Fax Number : 740-532-2133
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2007
Last Update Date : 11/06/2007

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