Provider Demographics
NPI:1265232060
Name:DUTTON, SETH MATTHEW
Entity type:Individual
Prefix:
First Name:SETH
Middle Name:MATTHEW
Last Name:DUTTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 S DEWEY AVE STE 108401
Mailing Address - Street 2:
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74003-3514
Mailing Address - Country:US
Mailing Address - Phone:918-336-0810
Mailing Address - Fax:918-336-0836
Practice Address - Street 1:401 S DEWEY AVE STE 108401
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74003-3514
Practice Address - Country:US
Practice Address - Phone:918-336-0810
Practice Address - Fax:918-336-0836
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist