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Dr. Jackson Lee Sullivan, DDS,PA
Endodontist in Bradenton, Florida
NPI 1194733725

Jackson Lee Sullivan is a Endodontist based in Bradenton, FL and is specialized in Endodontics. Jackson Lee Sullivan practices in Bradenton, FL and has the professional credentials of DDS,PA. The NPI Number for Jackson Lee Sullivan is 1194733725 and holds a License No. DN15529 (Florida).

The current practice location address for Jackson Lee Sullivan is 1906 59Th St W Ste D, Bradenton, FL and can be reached out via phone at 941-840-1906 and via fax at 941-840-1906.

Location: 1906 59Th St W Ste D, Bradenton, FL, 34209-4639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194733725
Provider Name
Jackson Lee Sullivan
Credential
DDS,PA
Provider Entity Type
Individual
Gender
Male
Address
1906 59Th St W Ste D, Bradenton, FL, 34209-4639
Phone Number
941-840-1906
Fax Number
941-840-1906
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1906 59Th St W Ste D
City
Bradenton
State
Florida
Zip
34209-4639
Phone Number
941-840-1906
Fax Number
941-840-1906
person
Provider Business Mailing Address Details
Address
1906 59Th St W Ste D
City
Bradenton
State
Florida
Zip
34209-4639
Phone Number
941-840-1906
Fax Number
941-840-1906
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Endodontics
Taxonomy
1223E0200X
License No.
DN15529 (Florida)
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 etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
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