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Dr. Bradley W Sutton, DDS
General Practice Dentistry in Pocatello, Idaho
NPI 1467543595

Bradley W Sutton is a General Practice Dentistry based in Pocatello, ID and is specialized in General Practice. Bradley W Sutton practices in Pocatello, ID and has the professional credentials of DDS. The NPI Number for Bradley W Sutton is 1467543595 and holds a License No. D3963 (Idaho).

The current practice location address for Bradley W Sutton is 475 Yellowstone Ave, Pocatello, ID and can be reached out via phone at 208-232-3500 and via fax at 208-232-3505.

Location: 475 Yellowstone Ave, Pocatello, ID, 83201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467543595
Provider Name
Bradley W Sutton
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
475 Yellowstone Ave, Pocatello, ID, 83201
Phone Number
208-232-3500
Fax Number
208-232-3505
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6P055 01 BLUE CROSS BLUE SHIELD OF
institution
Provider Business Practice Location Address Details
Address
475 Yellowstone Ave
City
Pocatello
State
Idaho
Zip
83201
Phone Number
208-232-3500
Fax Number
208-232-3505
person
Provider Business Mailing Address Details
Address
475 Yellowstone Ave
City
Pocatello
State
Idaho
Zip
83201
Phone Number
208-232-3500
Fax Number
208-232-3505
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D3963 (Idaho)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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