Jay Scott Sullins is a Endodontics in Lawton, Oklahoma. Jay Scott Sullins practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Jay Scott Sullins is 1992843965. The last update date is 2007-07-08.
Jay Scott Sullins's current location address is 8504 Nw Cache Rd, Lawton, Oklahoma. You can contact this provider via phone number 5802483636 and fax number 5802483533. The mailing address for Jay Scott Sullins is 8504 Nw Cache Rd, Lawton, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay Scott Sullins |
|---|---|
| Address | 8504 Nw Cache Rd, Lawton, Oklahoma |
| Phone Number | 5802483636 |
| Fax Number | 5802483533 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1992843965 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8504 Nw Cache Rd |
|---|---|
| City | Lawton |
| State | Oklahoma (OK) |
| Post Code | 735059604 |
| Phone Number | 5802483636 |
| Fax Number | 5802483533 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 38 |
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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 identification code assigned to Jay Scott Sullins by the Centers for Medicare & Medicaid Services?
The Jay Scott Sullins has been issued the NPI (National Provider Identifier) 1992843965. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jay Scott Sullins is geographically located?
The Jay Scott Sullins is physically situated at the following location: 8504 Nw Cache Rd, Lawton, OK, 735059604.
What is the Jay Scott Sullins's area of specialization and corresponding taxonomy classification?
The Jay Scott Sullins's specialty field is Endodontics, and it falls under the taxonomy code 1223E0200X, which categorizes healthcare providers based on their specialties.
On what date was the 1992843965 assigned to Jay Scott Sullins?
The Jay Scott Sullins was issued its 1992843965 on 2007-02-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Jay Scott Sullins most recently updated or revised?
The details related to Jay Scott Sullins, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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