John Michael Sullivan D.M.D, M.S.

NPI 1679703425 - Dentist - 122300000X

NPI Details
NPI 1679703425
Gender Male
Enumeration Date 07/14/2009
Last Updated 12/18/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
9770 OLD BAYMEADOWS RD STE 113
JACKSONVILLE FL, 32256-7986, US
Phone (904) 636-8999
Fax (904) 998-7804
Business Location
9770 OLD BAYMEADOWS RD STE 113
JACKSONVILLE FL, 32256-7986, US
Phone (904) 636-8999
Fax (904) 998-7804
Toxanomy
Taxonomy Code 122300000X
License State Florida
License Number DN18659
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According to our database, Dr. John Michael Sullivan D.M.D, M.S. NPI is 1679703425, taxonomy code is 122300000X and license number is DN18659, license state is located at Florida. John Michael Sullivan D.M.D, M.S. physically located at 9770 Old Baymeadows Rd Ste 113, Jacksonville FL, 32256-7986. NPI Number John Michael Sullivan D.M.D, M.S. has the Individual type.

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1679703425 NPI number is provided on an as is basis without warranty of any kind. 1679703425 is maintained by the National Plan & Provider Enumeration System. The contents of John Michael Sullivan D.M.D, M.S. are for informational purposes only.