Individual
CHRISTOPHER SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1320 W A ST, LINCOLN, NE 68522-1231
(402) 438-5555
(402) 438-0183
Mailing address
1320 W A ST, LINCOLN, NE 68522-1231
(402) 438-5555
(402) 438-0183
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7449
NE
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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