Individual
DR. SETH SULLIVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
727 N CARDINAL DR, MOUNTAIN HOME, AR 72653-3253
(870) 425-4242
Mailing address
727 N CARDINAL DR, MOUNTAIN HOME, AR 72653-3253
(870) 425-4242
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4622
AR
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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