Provider Demographics
NPI:1811984339
Name:SUTTON, ALAN J (DDS)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:J
Last Name:SUTTON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1959 NE PACIFIC ST # 357456
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-7456
Mailing Address - Country:US
Mailing Address - Phone:206-543-5948
Mailing Address - Fax:206-543-7783
Practice Address - Street 1:1959 NE PACIFIC ST RM D458
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-1540
Practice Address - Country:US
Practice Address - Phone:206-543-5919
Practice Address - Fax:206-543-7783
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX147001223P0700X
WA611914661223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics