Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIMOTHY P SULLIVAN, D.D.S.
Active Sole ProprietorDR. TIMOTHY P SULLIVAN, D.D.S. is a Dentist healthcare provider located in CRYSTAL LAKE, Illinois. NPI 1396819215 is currently active in the NPPES registry. Verify at CMS.
Dentist · CRYSTAL LAKE, IL
Registration Details
- NPI Number
- 1396819215
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 20, 2006 (19.770956521145 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
370 W TERRA COTTA AVECRYSTAL LAKE, IL, 600143512Browse IL providers · Browse ZIP 60014
- Phone
- 8154592180
- Fax
- 8154592181
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in CRYSTAL LAKE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. JOSEPH I FRAZIER | DDS | 1467537332 |
| DR. GREGORY FRANK KUBIK | D.D.S. | 1417033150 |
| DR. THOMAS ARTHUR KOPP | DDS. | 1528144607 |
| DR. DENNIS JAMES MCDOWELL | D.D.S. | 1720150097 |
| DR. KEVIN M BRUGGEMAN | DDS | 1275606287 |
| DR. PAUL A BRUGGEMAN | DDS | 1447323456 |
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.