David K. Sullivan, Dmd, Pa in Jacksonville - Endodontics
David K. Sullivan, Dmd, Pa - NPI 1457541336
David K. Sullivan, Dmd, Pa is a Endodontics in Jacksonville, Florida. David K. Sullivan, Dmd, Pa practices all healthcare services and medical treatments related to Endodontics. The NPI Number for David K. Sullivan, Dmd, Pa is 1457541336. The last update date is 2007-07-27.
David K. Sullivan, Dmd, Pa's current location address is 9550 Regency Square Blvd, Jacksonville, Florida. You can contact this provider via phone number 9047245544 and fax number 9047252522. The mailing address for David K. Sullivan, Dmd, Pa is 9550 Regency Square Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | David K. Sullivan, Dmd, Pa |
|---|---|
| Address | 9550 Regency Square Blvd, Jacksonville, Florida |
| Phone Number | 9047245544 |
| Fax Number | 9047252522 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Sullivan Keith David |
| Credentials | DMD |
| Telephone Number | 9047245544 |
NPI Number Detail
| NPI Number | 1457541336 |
|---|---|
| Provider Enumeration Date | 2007-07-27 |
| Last Updated Date | 2007-07-27 |
Provider Mailing Address Detail
| Address | 9550 Regency Square Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322258116 |
| Phone Number | 9047245544 |
| Fax Number | 9047252522 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 8993 |
|
Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique 10-digit identifier code assigned to David K. Sullivan, Dmd, Pa by the Centers for Medicare & Medicaid Services?
The David K. Sullivan, Dmd, Pa has been issued the NPI (National Provider Identifier) 1457541336 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of David K. Sullivan, Dmd, Pa?
The David K. Sullivan, Dmd, Pa is situated at 9550 Regency Square Blvd, in the city of Jacksonville, state of FL, with the zip code 322258116.
What is David K. Sullivan, Dmd, Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The David K. Sullivan, Dmd, Pa's specialized field of practice is Endodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1457541336 to David K. Sullivan, Dmd, Pa?
The Centers for Medicare & Medicaid Services assigned the 1457541336 to David K. Sullivan, Dmd, Pa on 2007-07-27.
As of what date were the David K. Sullivan, Dmd, Pa's details last updated?
The information pertaining to the David K. Sullivan, Dmd, Pa, including its address, specialty, and other details, was most recently updated on 2007-07-27.
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