Individual provider · Type 1 NPI
John P. Sullivan, DMD
Orthodontics and Dentofacial Orthopedics Dentistry · Pittsford, NY
Practice location
60 Tobey Village
Pittsford, NY 14534-1858
Mailing address
105 Neuchatel Ln
Fairport, NY 14450-4634
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 055771-1 (NY) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1992797468
John P. Sullivan, DMD's National Provider Identifier is 1992797468, issued on Aug 19, 2005. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Pittsford, NY. The record was last updated on Jan 17, 2012.