Individual
DR. JOHN V. SULLIVANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,PA
Contact information
Practice address
727 N CARDINAL DR, MOUNTAIN HOME, AR 72653-3253
(870) 425-4242
(870) 425-4243
Mailing address
727 N CARDINAL DR, MOUNTAIN HOME, AR 72653-3253
(870) 425-4242
(870) 425-4243
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AR2788
AR
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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