Individual
DR. THOMAS ALEXANDER SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
BLDG 38717 38TH STREET, USA DENTAC, FT GORDON, GA 30905-5660
(706) 787-6927
(706) 787-2082
Mailing address
NATTC NAVY DENTAL CLINIC, 760 E. AVE. BUILD. 3911, PENSACOLA, FL 32508
(850) 452-8900
(850) 452-8892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11292
TX
Other
Enumeration date
02/27/2006
Last updated
07/08/2007
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