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JACOB SUTTON DDS PA NPI 1528457785


NPI Information

NPI: 1528457785
Provider Name: JACOB SUTTON, DDS, PA

Doing Business As: SUTTON PURYEAR FAMILY DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
715 ELDRIDGE AVE E
WYNNE, AR
ZIP 72396
Phone: (870) 238-3628
Get Directions

JACOB SUTTON, DDS, PA is a general practice dentist in Wynne, AR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. JACOB SUTTON, DDS, PA NPI is 1528457785. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sutton Puryear Family Dentistry.

The provider's business location address is:

715 ELDRIDGE AVE E
WYNNE, AR
ZIP 72396-032
Phone: (870) 238-3628
Fax: (870) 238-0757

The provider's authorized official is Tiffany D Cathey .
The authorized official title is Office Manager and has the following contact phone number (870) 238-3628.

The enumeration date for this NPI number is 1/12/2015 and was last updated on 1/12/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice3931ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200444608MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.