John K. Sullivan, DDS

Dentist · Springfield, OR

Individual Active NPI

NPI number 1063564979

Practice location

498 Harlow Rd
Suite 1
Springfield, OR 97477
Phone
(541) 225-4866
Fax
(888) 502-2518

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NPI record

NPI
1063564979
Entity type
Individual (Type 1)
Enumeration date
January 18, 2007
Last updated
March 24, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D10371 OR

About Dr. Sullivan

John K. Sullivan, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 498 Harlow Rd, Suite 1, Springfield, OR 97477. The NPI number 1063564979 was assigned on January 18, 2007 and the record was last updated on March 24, 2016.

Dr. Sullivan lists a license in the registry: #D10371 (OR) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John K. Sullivan, DDS?

The NPI number is 1063564979.

What is the phone number of Dr. Sullivan?

The phone number listed for the practice location is (541) 225-4866.

Where is Dr. Sullivan located?

498 Harlow Rd, Suite 1, Springfield, OR 97477.

What is the taxonomy code for Dr. Sullivan?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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