John Joseph Sullivan in Encino - Dentist

John Joseph Sullivan - NPI 1285827733

John Joseph Sullivan is a Dentist in Encino, California. John Joseph Sullivan practices all healthcare services and medical treatments related to Dentist. The NPI Number for John Joseph Sullivan is 1285827733. The last update date is 2007-08-18.

John Joseph Sullivan's current location address is 5363 Balboa Blvd, Encino, California. You can contact this provider via phone number 8187881981 and fax number 8187880308. The mailing address for John Joseph Sullivan is 5363 Balboa Blvd, Encino, California. To know further, please read the information below!

Provider Profile Detail

Provider Name John Joseph Sullivan
Address 5363 Balboa Blvd, Encino, California
Phone Number 8187881981
Fax Number 8187880308
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1285827733
Provider Enumeration Date 2007-08-18
Last Updated Date 2007-08-18

Provider Mailing Address Detail

Address 5363 Balboa Blvd
City Encino
State California (CA)
Post Code 913162805
Phone Number 8187881981
Fax Number 8187880308

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 45024
Definition:
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: denti

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FAQs about John Joseph Sullivan

What is the unique identifier code issued to John Joseph Sullivan by the Centers for Medicare & Medicaid Services (CMS)?

The John Joseph Sullivan has been assigned the NPI (National Provider Identifier) 1285827733. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where John Joseph Sullivan's facilities are geographically located?

The facilities of John Joseph Sullivan are physically situated at the following location: 5363 Balboa Blvd, Encino, CA, 913162805.

What is the John Joseph Sullivan's specialty and taxonomy code?

The John Joseph Sullivan's specialty is Dentist, and the corresponding taxonomy code is 122300000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1285827733 to John Joseph Sullivan?

The Centers for Medicare & Medicaid Services assigned the 1285827733 to John Joseph Sullivan on 2007-08-18.

As of what date were the details pertaining to John Joseph Sullivan last refreshed?

The information related to the John Joseph Sullivan, including its address, specialty, and other relevant details, was last updated on 2007-08-18.

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