Individual provider · Type 1 NPI

Jerry L. Sullivan, DDS

General Practice Dentistry · Kingman, AZ

NPI number 1093929044 Active

Practice location

411 Grandview Ave
Kingman, AZ 86401-5745

Call (928) 753-6611 Map

Fax (928) 753-1288

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X3296 (AZ)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1093929044

Jerry L. Sullivan, DDS's National Provider Identifier is 1093929044, issued on May 9, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Kingman, AZ. The record was last updated on Jul 8, 2007.