| Cody Lee Sullivan, DDS | |
|
200 Mercy Circle, Camp Pendleton, CA 92055-5191 | |
| (760) 725-3417 | |
| Not Available |
| Full Name | Cody Lee Sullivan |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 200 Mercy Circle, Camp Pendleton, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942795877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401418537 (Virginia) | Secondary |
| 122300000X | Dentist | 2018021980 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Cody Lee Sullivan, DDS 6892 Embarcadero Ln, Carlsbad, CA 92011-3227 Ph: (314) 960-2064 | Cody Lee Sullivan, DDS 200 Mercy Circle, Camp Pendleton, CA 92055-5191 Ph: (760) 725-3417 |
Tommy Bernard White, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Naval Hospital Camp Pendleton, Dental Department, Camp Pendleton, CA 92055 Phone: 760-725-1200 Fax: 760-725-1539 | |
Dr. Henry Allston Lumpkin, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Naval Hospital Camp Pendleton, 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 760-719-4747 | |
Dr. Brett Clinton Miller, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: First Dental Battalion Ndc, Camp Pendleton, CA 92055 Phone: 760-725-5208 | |
Dr. Irma Louise Welch, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: Las Flores Dental Clinic, 41 Area, Bldg. 414006, Camp Pendleton, CA 92055 Phone: 760-763-5603 | |
Dr. Mason L Segura, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 13th St. At D St., Bldg 1377, Camp Pendleton, CA 92055 Phone: 626-244-4538 | |
Dr. Joshua Daniel Evans, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 14th Street, 13 Adc Bldg. 13128,, Camp Pendleton, CA 92055 Phone: 760-763-7241 | |
Leslie H Wallace, DR Dentist Medicare: Not Enrolled in Medicare Practice Location: Naval Hospital, Santa Margarita Road, Camp Pendleton, CA 92055 Phone: 760-725-8882 Fax: 760-725-8882 |