Individual provider · Type 1 NPI

Thomas Alexander Sullivan, DDS

Dentist · Fort Gordon, GA

NPI number 1104892306 Active

Practice location

Bldg 38717 38th Street, Usa Dentac
Fort Gordon, GA 30905-5660

Call (706) 787-6927 Map

Fax (706) 787-2082

Mailing address

Nattc Navy Dental Clinic, 760 E. Ave. Build. 3911
Pensacola, FL 32508

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X11292 (TX)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1104892306

Thomas Alexander Sullivan, DDS's National Provider Identifier is 1104892306, issued on Feb 27, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Fort Gordon, GA. The record was last updated on Jul 8, 2007.