Kenneth Sullivan in Cape Girardeau - Dentist
Kenneth Sullivan - NPI 1689756272
Kenneth Sullivan is a Dentist in Cape Girardeau, Missouri. Kenneth Sullivan practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kenneth Sullivan is 1689756272. The last update date is 2008-09-10.
Kenneth Sullivan's current location address is 2439 Bloomfield Rd, Cape Girardeau, Missouri. You can contact this provider via phone number 5733355199. The mailing address for Kenneth Sullivan is 2439 Bloomfield Rd, Cape Girardeau, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Sullivan |
|---|---|
| Address | 2439 Bloomfield Rd, Cape Girardeau, Missouri |
| Phone Number | 5733355199 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1689756272 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2008-09-10 |
Provider Mailing Address Detail
| Address | 2439 Bloomfield Rd |
|---|---|
| City | Cape Girardeau |
| State | Missouri (MO) |
| Post Code | 637036415 |
| Phone Number | 5733355199 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2006013084 |
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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 identification code issued to Kenneth Sullivan by the Centers for Medicare & Medicaid Services?
The Kenneth Sullivan has been assigned the NPI (National Provider Identifier) 1689756272 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Kenneth Sullivan located?
The Kenneth Sullivan is located at 2439 Bloomfield Rd, Cape Girardeau, MO 637036415.
What is Kenneth Sullivan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kenneth Sullivan is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
When was the Kenneth Sullivan's 1689756272 issued?
The Kenneth Sullivan's 1689756272 was issued on 2006-10-20.
When was the information related to Kenneth Sullivan most recently updated or refreshed?
The details pertaining to the Kenneth Sullivan, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-09-10.
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