Nala S. Sullivan, DDS

General Practice Dentistry · Stafford, TX

Individual Active NPI

NPI number 1639403629

Practice location

12800 Fountain Lake Cir
Stafford, TX 77477-3756
Phone
(281) 277-1659
Fax
(281) 277-1236

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NPI record

NPI
1639403629
Entity type
Individual (Type 1)
Enumeration date
September 24, 2009
Last updated
June 7, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 25807 TX

Mailing address

12800 Fountain Lake Cir
Stafford, TX 77477
Phone
(281) 277-1659
Fax
(281) 277-1236

About Dr. Sullivan

Nala S. Sullivan, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 12800 Fountain Lake Cir, Stafford, TX 77477-3756. The NPI number 1639403629 was assigned on September 24, 2009 and the record was last updated on June 7, 2017.

Dr. Sullivan lists a license in the registry: #25807 (TX) 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 Nala S. Sullivan, DDS?

The NPI number is 1639403629.

What is the phone number of Dr. Sullivan?

The phone number listed for the practice location is (281) 277-1659.

Where is Dr. Sullivan located?

12800 Fountain Lake Cir, Stafford, TX 77477-3756.

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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