Individual
DR. JAY SCOTT SULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8504 NW CACHE RD, LAWTON, OK 73505-9604
(580) 248-3636
(580) 248-3533
Mailing address
8504 NW CACHE RD, LAWTON, OK 73505-9604
(580) 248-3636
(580) 248-3533
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
38
OK
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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