Jacob Sullivan is a Kirtland Afb, New Mexico based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jacob Sullivan is D010709 for Dentistry in Arizona. His current practice location is 2050a 2nd St Se, Kirtland Afb. Patients can reach him at 505-846-3200.
Jacob Sullivan is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Jacob Sullivan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Jacob Sullivan
Specialization:
Dentist
Gender:
Male
Accepts Medicare Assignment:
No
Practice Address:
2050a 2nd St Se, Kirtland Afb, New Mexico, 87117-5522
Phone:
505-846-3200
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1922633080
NPI Enumeration Date:
10 Mar, 2020
NPI Last Update On:
28 Sep, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacob Sullivan are as mentioned below.
License Number
Specialization
State
Status
D010709
Dentistry
Arizona
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2050a 2nd St Se, Kirtland Afb, New Mexico
Zip:
87117-5901
Patients can reach Jacob Sullivan at 2050a 2nd St Se, Kirtland Afb, New Mexico or can call to book an appointment on 505-846-3200. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.