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John Sullivan, DDS
NPI 1457412306 · on the registry since 2006 · sole proprietor
Practice
- Address
- 325 W White Mountain Blvd
Lakeside, AZ 85929 - Phone
- (928) 367-4276
- Fax
- (928) 367-1539
- Organisation at this address
- John J Sullivan, Dds, Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-04-21
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 Arizona