Provider Demographics
NPI:1598448524
Name:LAWRENCE J. SUTTON, D.D.S., P.A.
Entity Type:Organization
Organization Name:LAWRENCE J. SUTTON, D.D.S., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-620-0094
Mailing Address - Street 1:2825 SE 17TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-5516
Mailing Address - Country:US
Mailing Address - Phone:352-620-0094
Mailing Address - Fax:352-620-9174
Practice Address - Street 1:2825 SE 17TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5516
Practice Address - Country:US
Practice Address - Phone:352-620-0094
Practice Address - Fax:352-620-9174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental