Individual
THOMAS P O'SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11111 NALL AVE, STE 106, LEAWOOD, KS 66211-1620
(913) 383-2600
Mailing address
3305 W 129TH ST, LEAWOOD, KS 66209-1772
(913) 345-2102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6128
KS
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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