Search › Illinois › 1223G0001X
Andrea Sullivan, DMD
NPI 1871092502 · on the registry since 2018
Practice
- Address
- 3024 South Il-159
Glen Carbon, IL 62034 - Phone
- (855) 579-2158
Additional practice sites
- 1200 Big Bill Rd, Arnold, MO
- 1809 Homer M Adams Pkwy Ste A, Alton, IL
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-17
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 Illinois