Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY L SULLIVAN, DDS
Active Sole ProprietorJERRY L SULLIVAN, DDS is a General Dentistry healthcare provider located in KINGMAN, Arizona. NPI 1093929044 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · KINGMAN, AZ
Registration Details
- NPI Number
- 1093929044
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 9, 2007 (19.276798381321 yrs)
- Last Updated
- Jul 8, 2007
- License
-
3296 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
411 GRANDVIEW AVEKINGMAN, AZ, 864015745Browse AZ providers · Browse ZIP 86401
- Phone
- 9287536611
- Fax
- 9287531288
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in KINGMAN, AZ
| Name | Credential | NPI |
|---|---|---|
| CHARLES JOSEAPH LUCERO | DDS | 1710988787 |
| RONALD ANTHONY DICARLO II | DMD | 1942264445 |
| DR. TIMOTHY WILLIAM MANGELSDORF | — | 1619924669 |
| DR. JAMES M. RANSDELL | DDS | 1356386676 |
| DR. NATHANIEL URQUHART | DMD | 1760427967 |
| DR. JASON W LOWRY | D.D.S. | 1679592695 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.