Organization
DAVID K. SULLIVAN, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID KEITH SULLIVAN DMD (OWNER)
(904) 724-5544
Entity
Organization
Contact information
Practice address
9550 REGENCY SQUARE BLVD, SUITE 600, JACKSONVILLE, FL 32225-8116
(904) 724-5544
(904) 725-2522
Mailing address
9550 REGENCY SQUARE BLVD, SUITE 600, JACKSONVILLE, FL 32225-8116
(904) 724-5544
(904) 725-2522
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
8993
FL
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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