Dr John J Sullivan, DDS is a
Dentist - General Practice based in Lakeside, Arizona. Dr John J Sullivan is licensed to practice in Arizona (license number 2685) and his current practice location is
325 W White Mountain Blvd, Lakeside, Arizona. He can be reached at his office (for appointments etc.) via phone at
(928) 367-4276.
NPI number for Dr John J Sullivan is 1457412306 and his current mailing address is 325 W White Mountain Blvd, Lakeside, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457412306.
Healthcare Provider's Profile
Full Name | Dr John J Sullivan |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 325 W White Mountain Blvd, Lakeside, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457412306
- Provider Enumeration Date: 12/13/2006
- Last Update Date: 04/21/2010
Medical Identifiers
Medical identifiers for Dr John J Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457412306 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 2685 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John J Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr John J Sullivan, DDS 325 W White Mountain Blvd, Lakeside, AZ 85929-6875 Ph: (928) 367-4276 | Dr John J Sullivan, DDS 325 W White Mountain Blvd, Lakeside, AZ 85929-6875 Ph: (928) 367-4276 |
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