Provider Demographics
NPI:1811903081
Name:SUTTON, DAVID F (DMD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:F
Last Name:SUTTON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2813 S HIAWASSEE RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-6300
Mailing Address - Country:US
Mailing Address - Phone:407-578-3093
Mailing Address - Fax:407-521-9004
Practice Address - Street 1:2813 S HIAWASSEE RD
Practice Address - Street 2:SUITE 105
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-6300
Practice Address - Country:US
Practice Address - Phone:407-578-3093
Practice Address - Fax:407-521-9004
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN11167122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist