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Contact Information

JOHN K SULLIVAN, DDS
498 HARLOW RD
SUITE 1
SPRINGFIELD, OR97477
 Phone: 541-225-4866
 Fax: 888-502-2518
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JOHN K SULLIVAN · (Male)

NPI # 1063564979
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 01/18/2007
Last updated 03/24/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # D10371
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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