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Individual
DR. ANDREW J SULLIVAN
Active
Individual
DR. ANDREW J SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013628A
IN
1223E0200X
Endodontics
Primary
12013628A
IN
Other
Enumeration date
05/29/2021
Last updated
04/15/2026
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