DR. John V. Sullivant, DDS,PA
NPI #1255342028 in Mountain Home, Arkansas
Provider Information
- NPI Number
- 1255342028
- Entity Type
- Individual
- Name
- DR. John V. Sullivant, DDS,PA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS,PA
- Enumeration Date
- Aug 10, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 727 N CARDINAL DR
- City
- Mountain Home
- State
- Arkansas
- ZIP Code
- 72653-3253
- Phone
- (870) 425-4242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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