Individual provider · Type 1 NPI
John J. Sullivan, DDS
General Practice Dentistry · Lakeside, AZ
NPI number
1457412306
Active
Practice location
325 W White Mountain Blvd
Lakeside, AZ 85929-6875
Fax (928) 367-1539
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 2685 (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.
Another provider at this address
Other general practice dentistry providers in Lakeside
About NPI 1457412306
John J. Sullivan, DDS's National Provider Identifier is 1457412306, issued on Dec 13, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lakeside, AZ. The record was last updated on Apr 21, 2010.