Active NPIIndividual providerSole proprietor

Dr. Kenneth J Sullivan, DDS

Dentist, General Practice in Point Pleasant Boro, New Jersey

NPI Number1740367598
Practice location
928 Arnold Ave, Point Pleasant Boro, NJ 08742-2305
Fax
732-892-5352
Last updated
July 8, 2007

Kenneth James Sullivan is a Dentist, General Practice based in Point Pleasant Boro, NJ. Kenneth James Sullivan practices in Point Pleasant Boro, NJ and has the professional credentials of DDS. The NPI Number for Kenneth James Sullivan is 1740367598 and holds a License No. 22DI01478000 (NJ). The current practice location address for Kenneth James Sullivan is 928 Arnold Ave, Point Pleasant Boro, NJ 08742-2305 and can be reached out via phone at 732-899-0222 and via fax at 732-892-5352.

Provider Profile Details

NPI Number
1740367598
Provider Name
Kenneth James Sullivan
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
928 Arnold Ave, Point Pleasant Boro, NJ 08742-2305
Phone Number
732-899-0222
Fax Number
732-892-5352
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
November 1, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
928 Arnold Ave
Point Pleasant Boro, NJ 08742-2305
Zip
08742-2305
Phone Number
732-899-0222
Fax Number
732-892-5352
Point Pleasant Boro, NJ 08742Get directions →

Provider Business Mailing Address Details

Address
928 Arnold Ave
Point Pleasant Boro, NJ 08742-2305
City
Point Pleasant Boro
State
NJ
Zip
08742-2305
Phone Number
732-899-0222
Fax Number
732-892-5352

License Information

License Number
22DI01478000
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kenneth J Sullivan, DDS?

The NPI number of Dr. Kenneth J Sullivan, DDS is 1740367598. It was assigned on November 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Kenneth J Sullivan, DDS?

Dr. Kenneth J Sullivan, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI01478000.

Where does Dr. Kenneth J Sullivan, DDS practice?

The practice location is 928 Arnold Ave, Point Pleasant Boro, NJ 08742-2305. The office can be reached at 732-899-0222 (phone) or 732-892-5352 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740367598 directly on the NPPES registry website.

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