Provider Demographics
NPI:1639207525
Name:SUTTON FAYEN, BARBARA CHEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:CHEN
Last Name:SUTTON FAYEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:BARBARA
Other - Middle Name:CHEN
Other - Last Name:SUTTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:20511 N HAYDEN RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-3877
Mailing Address - Country:US
Mailing Address - Phone:480-994-5555
Mailing Address - Fax:
Practice Address - Street 1:8300 E DIXILETA DR
Practice Address - Street 2:UNIT 229
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85262-2273
Practice Address - Country:US
Practice Address - Phone:623-533-1608
Practice Address - Fax:480-575-0222
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ48281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice