Timothy P Sullivan in Crystal Lake - Dentist
Timothy P Sullivan - NPI 1396819215
Timothy P Sullivan is a Dentist in Crystal Lake, Illinois. Timothy P Sullivan practices all healthcare services and medical treatments related to Dentist. The NPI Number for Timothy P Sullivan is 1396819215. The last update date is 2007-07-08.
Timothy P Sullivan's current location address is 370 W Terra Cotta Ave, Crystal Lake, Illinois. You can contact this provider via phone number 8154592180 and fax number 8154592181. The mailing address for Timothy P Sullivan is 370 W Terra Cotta Ave, Crystal Lake, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy P Sullivan |
|---|---|
| Address | 370 W Terra Cotta Ave, Crystal Lake, Illinois |
| Phone Number | 8154592180 |
| Fax Number | 8154592181 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1396819215 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 370 W Terra Cotta Ave |
|---|---|
| City | Crystal Lake |
| State | Illinois (IL) |
| Post Code | 600143512 |
| Phone Number | 8154592180 |
| Fax Number | 8154592181 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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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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Post Comment/ Review Below
What is the Timothy P Sullivan's unique identification number?
The Timothy P Sullivan has been assigned the NPI (National Provider Identifier) Number 1396819215 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Timothy P Sullivan is located?
The Timothy P Sullivan is situated at the following address: 370 W Terra Cotta Ave, Crystal Lake, IL, 600143512.
What is the area of specialization for Timothy P Sullivan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Timothy P Sullivan is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
When was the Timothy P Sullivan's 1396819215 issued?
The Timothy P Sullivan's 1396819215 was issued on 2006-11-20.
When was the information regarding Timothy P Sullivan most recently updated?
The details pertaining to the Timothy P Sullivan, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.