Organization · Type 2 NPI

Jackson L. Sullivan D.d.s., P.c.

Endodontics · Edmond, OK

NPI number 1336366244 Active

Practice location

609 S Kelly Ave Ste E1
Edmond, OK 73003-7501

Fax (405) 844-8440

Specialties and licenses

TaxonomyCodeLicense
Endodontics Primary 1223E0200X5244 (OK)

Endodontics: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

About NPI 1336366244

Jackson L. Sullivan D.d.s., P.c.'s National Provider Identifier is 1336366244, issued on Apr 20, 2007. The primary taxonomy on file is Endodontics (1223E0200X), and the practice location is in Edmond, OK. The record was last updated on Jun 12, 2008.