James Woodfin Sullivan, DDS

Dentist · Bastrop, TX

Individual Active NPI

NPI number 1255808705

Practice location

121 Kaneohe Ln
Bastrop, TX 78602-7252
Phone
(512) 775-0395

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NPI record

NPI
1255808705
Entity type
Individual (Type 1)
Enumeration date
November 1, 2018
Last updated
November 1, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 17117 TX

About Dr. Sullivan

James Woodfin Sullivan, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 121 Kaneohe Ln, Bastrop, TX 78602-7252. The NPI number 1255808705 was assigned on November 1, 2018 and the record was last updated on November 1, 2018.

Dr. Sullivan lists a license in the registry: #17117 (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 James Woodfin Sullivan, DDS?

The NPI number is 1255808705.

What is the phone number of Dr. Sullivan?

The phone number listed for the practice location is (512) 775-0395.

Where is Dr. Sullivan located?

121 Kaneohe Ln, Bastrop, TX 78602-7252.

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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