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Jackson Sullivan, D.D.S., PA
NPI 1194733725 · on the registry since 2006
Practice
- Address
- 1906 59th St W Ste D
Bradenton, FL 34209 - Phone
- (941) 840-1906
- Fax
- (941) 840-1906
- Organisation at this address
- Mint Dental
Tdn Dentistry Pllc
Sheplak Dental Pllc
Peachtree Dental Pllc
H John Richmond Dmd PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Registry record
- Primary taxonomy
- Endodontics
1223E0200X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-03-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida