Provider Demographics
NPI:1093196511
Name:SUTTON, ROBIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:
Last Name:SUTTON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2225 E GILLCREST RD
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-9759
Mailing Address - Country:US
Mailing Address - Phone:480-518-6209
Mailing Address - Fax:
Practice Address - Street 1:325 S MARKET ST
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-4760
Practice Address - Country:US
Practice Address - Phone:330-264-5994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-10
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.024513122300000X
AZD010457122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist