Joseph T. Sullivan, DDS

General Practice Dentistry · Downers Grove, IL

Individual Active NPI

NPI number 1487771135

Practice location

3450 Lacey Rd
Downers Grove, IL 60515-5430
Phone
(630) 743-4500
Fax
(630) 743-4940

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NPI record

NPI
1487771135
Entity type
Individual (Type 1)
Enumeration date
March 26, 2007
Last updated
October 8, 2021
Certified
October 8, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019021278 IL

About Dr. Sullivan

Joseph T. Sullivan, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3450 Lacey Rd, Downers Grove, IL 60515-5430. The NPI number 1487771135 was assigned on March 26, 2007 and the record was last updated on October 8, 2021.

Dr. Sullivan lists a license in the registry: #019021278 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Joseph T. Sullivan, DDS?

The NPI number is 1487771135.

What is the phone number of Dr. Sullivan?

The phone number listed for the practice location is (630) 743-4500.

Where is Dr. Sullivan located?

3450 Lacey Rd, Downers Grove, IL 60515-5430.

What is the taxonomy code for Dr. Sullivan?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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