Thomas Alexander Sullivan, DDS

Dentist · Ft Gordon, GA

Individual Active NPI

NPI number 1104892306

Practice location

Bldg 38717 38TH Street
USA Dentac
Ft Gordon, GA 30905-5660
Phone
(706) 787-6927
Fax
(706) 787-2082

Open in Google Maps

NPI record

NPI
1104892306
Entity type
Individual (Type 1)
Enumeration date
February 27, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 11292 TX

Mailing address

Nattc Navy Dental Clinic
760 E. Ave. Build. 3911
Pensacola, FL 32508
Phone
(850) 452-8900
Fax
(850) 452-8892

About Dr. Sullivan

Thomas Alexander Sullivan, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is Bldg 38717 38TH Street, USA Dentac, Ft Gordon, GA 30905-5660. The NPI number 1104892306 was assigned on February 27, 2006 and the record was last updated on July 8, 2007.

Dr. Sullivan lists a license in the registry: #11292 (TX) 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 Thomas Alexander Sullivan, DDS?

The NPI number is 1104892306.

What is the phone number of Dr. Sullivan?

The phone number listed for the practice location is (706) 787-6927.

Where is Dr. Sullivan located?

Bldg 38717 38TH Street, USA Dentac, Ft Gordon, GA 30905-5660.

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.

Other Dentist providers in Ft Gordon

All Dentist providers in Ft Gordon, GA →