John Sullivan is a Dentist in Gulfport, Mississippi. John Sullivan practices all healthcare services and medical treatments related to Dentist. The NPI Number for John Sullivan is 1508082835. The last update date is 2016-02-17.
John Sullivan's current location address is 517 Lewis Ave, Gulfport, Mississippi. You can contact this provider via phone number 2284325222 and fax number 2284325223. The mailing address for John Sullivan is 517 Lewis Ave, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Sullivan |
|---|---|
| Address | 517 Lewis Ave, Gulfport, Mississippi |
| Phone Number | 2284325222 |
| Fax Number | 2284325223 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1508082835 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2016-02-17 |
Provider Mailing Address Detail
| Address | 517 Lewis Ave |
|---|---|
| City | Gulfport |
| State | Mississippi (MS) |
| Post Code | 395011002 |
| Phone Number | 2284325222 |
| Fax Number | 2284325223 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 1701 |
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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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What is the unique 10-digit identifier code assigned to John Sullivan by the Centers for Medicare & Medicaid Services?
The John Sullivan has been issued the NPI (National Provider Identifier) 1508082835 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the John Sullivan located?
The John Sullivan is located at 517 Lewis Ave, Gulfport, MS 395011002.
What is John Sullivan's area of expertise and its corresponding taxonomy classification?
The John Sullivan's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1508082835 to John Sullivan?
The Centers for Medicare & Medicaid Services originally issued the 1508082835 to John Sullivan on 2007-04-17.
As of what date were the details related to John Sullivan most recently updated or revised?
The information pertaining to John Sullivan, including its address, specialty, and other relevant details, was last updated or revised on 2016-02-17.
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