John J Sullivan, DDS, PC
Dentist · Lakeside, AZ
Practice location
325 W White Mountain BlvdLakeside, AZ 85929
- Phone
- (928) 367-4276
NPI record
- NPI
- 1629254859
- Entity type
- Organization (Type 2)
- Enumeration date
- January 17, 2008
- Last updated
- April 21, 2010
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
2685 | AZ |
Authorized official
- Name
- John J Sullivan, DDS
- Title
- DDS
- Phone
- (928) 367-4276
About John J Sullivan, DDS, PC
John J Sullivan, DDS, PC is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 325 W White Mountain Blvd, Lakeside, AZ 85929. The NPI number 1629254859 was assigned on January 17, 2008 and the record was last updated on April 21, 2010.
John J Sullivan, DDS, PC lists a license in the registry: #2685 (AZ) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is John J Sullivan, DDS, DDS.
Frequently asked questions
What is the NPI number of John J Sullivan, DDS, PC?
The NPI number is 1629254859.
What is the phone number of John J Sullivan, DDS, PC?
The phone number listed for the practice location is (928) 367-4276.
Where is John J Sullivan, DDS, PC located?
325 W White Mountain Blvd, Lakeside, AZ 85929.
What is the taxonomy code for John J Sullivan, DDS, PC?
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.