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Jackson L. Sullivan D.d.s., P.c.
Endodontist in Edmond, Oklahoma
NPI 1336366244

Jackson L. Sullivan D.d.s., P.c. is a Endodontist based in Edmond, OK and is specialized in Endodontics. Jackson L. Sullivan D.d.s., P.c. practices in Edmond, OK. The NPI Number for Jackson L. Sullivan D.d.s., P.c. is 1336366244 and holds a License No. 5244 (Oklahoma).

The current practice location address for Jackson L. Sullivan D.d.s., P.c. is 609 S Kelly Ave Ste E1, Edmond, OK and can be reached out via phone at 405-844-8444 and via fax at 405-844-8440.

Location: 609 S Kelly Ave Ste E1, Edmond, OK, 73003-7501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336366244
Provider Name
Jackson L. Sullivan D.d.s., P.c.
Credential
Provider Entity Type
Organization
Address
609 S Kelly Ave Ste E1, Edmond, OK, 73003-7501
Phone Number
405-844-8444
Fax Number
405-844-8440
Provider Enumeration Date
04/20/2007
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
609 S Kelly Ave Ste E1
City
Edmond
State
Oklahoma
Zip
73003-7501
Phone Number
405-844-8444
Fax Number
405-844-8440
person
Provider Business Mailing Address Details
Address
609 S Kelly Ave Ste E1
City
Edmond
State
Oklahoma
Zip
73003-7501
Phone Number
405-844-8444
Fax Number
405-844-8440
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Endodontics
Taxonomy
1223E0200X
License No.
5244 (Oklahoma)
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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