| Jerry L Sullivan, DDS | |
|
411 Grandview Ave, Kingman, AZ 86401-5745 | |
| (928) 753-6611 | |
| (928) 753-1288 |
| Full Name | Jerry L Sullivan |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 411 Grandview Ave, Kingman, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093929044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3296 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry L Sullivan, DDS 411 Grandview Ave, Kingman, AZ 86401-5745 Ph: (928) 753-6611 | Jerry L Sullivan, DDS 411 Grandview Ave, Kingman, AZ 86401-5745 Ph: (928) 753-6611 |
Dr. Conchita O Mercado, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1101 Riata Valley Rd, Kingman, AZ 86409 Phone: 928-692-9394 Fax: 928-692-9399 | |
Dr. Bryan K Carlson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 988 Sycamore Ave, Kingman, AZ 86409 Phone: 928-757-3223 | |
Dr. Robert Anderson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3775 Stockton Hill Rd Ste C, Kingman, AZ 86409 Phone: 928-692-9135 Fax: 928-692-9408 | |
Dr. Gary James Lacaze, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1616 Stockton Hill Rd, Kingman, AZ 86401 Phone: 928-753-1141 Fax: 928-753-5793 | |
Dr. Tori Sandoval, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2535 Hualapai Mountain Rd Ste E, Kingman, AZ 86401 Phone: 928-718-2525 Fax: 928-718-7127 | |
Carl Bruce Bullen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1143 Riata Valley Rd, Kingman, AZ 86409 Phone: 928-757-8700 |