Sutton, James Michael

Sutton, James Michael is an individual health care provider with primary practice located at 1802 Rockingham Ave , Bowling Green KY 42104-3348. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Sutton, James Michael can be contacted via phone (270) 783-0064.

Contact Information

Primary practice address
1802 Rockingham Ave Bowling Green KY 42104-3348
Fax: (270) 901-1997
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 7275 Kentucky
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 7275 Kentucky

Profile Details

NPI number 1316916463
LBN Legal business name Sutton, James Michael
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Sep 21st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316916463 NPPES
Kentucky MEDICAID 7100070660
Kentucky MEDICAID 710009086

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