Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACKSON LEE SULLIVAN, D.D.S., PA
ActiveDR. JACKSON LEE SULLIVAN, D.D.S., PA is a Endodontics healthcare provider located in BRADENTON, Florida. NPI 1194733725 is currently active in the NPPES registry. Verify at CMS.
Endodontics · BRADENTON, FL
Registration Details
- NPI Number
- 1194733725
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 3, 2006 (20.039648122836 yrs)
- Last Updated
- Mar 1, 2022
- License
-
DN15529 (FL)
Practice Information
- Address
-
1906 59TH ST W STE DBRADENTON, FL, 342094639Browse FL providers · Browse ZIP 34209
- Phone
- 9418401906
- Fax
- 9418401906
- Primary Specialty
-
Endodontics
1223E0200X
Other Endodontics Providers in BRADENTON, FL
| Name | Credential | NPI |
|---|---|---|
| DR. LEON CARL DE JONGH | D.D.S. | 1255364022 |
| DR. ADAM PETER STRIMER | DMD, MS | 1053460667 |
| DR. DAVID DOUGLAS FABRE | D.D.S. | 1407984214 |
| KATHLEEN GABOARDI | DDS, PHD | 1821261595 |
| DR. ZAHABIYAH TSIAMWALA | DDS | 1275069338 |
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.