John K Sullivan is a Dentist in Springfield, Oregon. John K Sullivan practices all healthcare services and medical treatments related to Dentist. The NPI Number for John K Sullivan is 1063564979. The last update date is 2016-03-24.
John K Sullivan's current location address is 498 Harlow Rd, Springfield, Oregon. You can contact this provider via phone number 5412254866 and fax number 8885022518. The mailing address for John K Sullivan is 498 Harlow Rd, Springfield, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John K Sullivan |
|---|---|
| Address | 498 Harlow Rd, Springfield, Oregon |
| Phone Number | 5412254866 |
| Fax Number | 8885022518 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1063564979 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2016-03-24 |
Provider Mailing Address Detail
| Address | 498 Harlow Rd |
|---|---|
| City | Springfield |
| State | Oregon (OR) |
| Post Code | 97477 |
| Phone Number | 5412254866 |
| Fax Number | 8885022518 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D10371 |
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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 identifier code issued to John K Sullivan by the Centers for Medicare & Medicaid Services (CMS)?
The John K Sullivan has been assigned the NPI (National Provider Identifier) 1063564979. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of John K Sullivan?
The John K Sullivan is physically situated at 498 Harlow Rd, in the city of Springfield, state of OR, with the postal code 97477.
What is John K Sullivan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John K Sullivan is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the John K Sullivan receive the assignment of its 1063564979 from the Centers for Medicare & Medicaid Services?
The John K Sullivan was issued its 1063564979 by the Centers for Medicare & Medicaid Services on 2007-01-18.
As of what date was the information regarding John K Sullivan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John K Sullivan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-03-24.
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