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Jerry L Sullivan, DDS
General Practice Dentistry in Kingman, Arizona
NPI 1093929044

Jerry L Sullivan is a General Practice Dentistry based in Kingman, AZ and is specialized in General Practice. Jerry L Sullivan practices in Kingman, AZ and has the professional credentials of DDS. The NPI Number for Jerry L Sullivan is 1093929044 and holds a License No. 3296 (Arizona).

The current practice location address for Jerry L Sullivan is 411 Grandview Ave, Kingman, AZ and can be reached out via phone at 928-753-6611 and via fax at 928-753-1288.

Location: 411 Grandview Ave, Kingman, AZ, 86401-5745
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093929044
Provider Name
Jerry L Sullivan
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
411 Grandview Ave, Kingman, AZ, 86401-5745
Phone Number
928-753-6611
Fax Number
928-753-1288
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
411 Grandview Ave
City
Kingman
State
Arizona
Zip
86401-5745
Phone Number
928-753-6611
Fax Number
928-753-1288
person
Provider Business Mailing Address Details
Address
411 Grandview Ave
City
Kingman
State
Arizona
Zip
86401-5745
Phone Number
928-753-6611
Fax Number
928-753-1288
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
3296 (Arizona)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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