1639207525 NPI number — DR. BARBARA CHEN SUTTON FAYEN DDS

Table of content: DR. BARBARA CHEN SUTTON FAYEN DDS (NPI 1639207525)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639207525 NPI number — DR. BARBARA CHEN SUTTON FAYEN DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SUTTON FAYEN
Provider First Name:
BARBARA
Provider Middle Name:
CHEN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SUTTON
Provider Other First Name:
BARBARA
Provider Other Middle Name:
CHEN
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
DDS
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1639207525
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20511 N HAYDEN RD
Provider Second Line Business Mailing Address:
SUITE 150
Provider Business Mailing Address City Name:
SCOTTSDALE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85255-3877
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-994-5555
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8300 E DIXILETA DR
Provider Second Line Business Practice Location Address:
UNIT 229
Provider Business Practice Location Address City Name:
SCOTTSDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85262-2273
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
623-533-1608
Provider Business Practice Location Address Fax Number:
480-575-0222
Provider Enumeration Date:
03/01/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  4828 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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