DR. Thomas Alexander Sullivan, DDS

NPI #1104892306 in Ft Gordon, Georgia

Provider Information

NPI Number
1104892306
Entity Type
Individual
Name
DR. Thomas Alexander Sullivan, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Feb 27, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
BLDG 38717 38TH STREET
Address 2
USA DENTAC
State
Georgia
ZIP Code
30905-5660
Phone
(706) 787-6927

Specialties & Taxonomy Codes

Specialty
Dentist

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