Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON L. SULLIVAN D.D.S., P.C.
Active OrganizationJACKSON L. SULLIVAN D.D.S., P.C. is a Endodontics organization located in EDMOND, Oklahoma. NPI 1336366244 is currently active in the NPPES registry. Verify at CMS.
Endodontics · EDMOND, OK
Registration Details
- NPI Number
- 1336366244
- Provider Type
- Organization
- NPI Issued
- Apr 20, 2007 (19.309085113847 yrs)
- Last Updated
- Jun 12, 2008
- License
-
5244 (OK)
Practice Information
- Address
-
609 S KELLY AVE STE E1EDMOND, OK, 730037501Browse OK providers · Browse ZIP 73003
- Phone
- 4058448444
- Fax
- 4058448440
- Primary Specialty
-
Endodontics
1223E0200X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.