DR. Thomas Edward Sullivan, DDS

NPI #1003033283 in Westchester, Illinois

Provider Information

NPI Number: 1003033283
Entity Type: Individual
Name: DR. Thomas Edward Sullivan, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Apr 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1200 HIGH RIDGE PARKWAY
City: Westchester
State: Illinois
ZIP Code: 60154
Phone: (708) 562-4474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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