Jerry L Sullivan is a Kingman, Arizona based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jerry L Sullivan is 3296 for General Practice Dentistry in Arizona. His current practice location is 411 Grandview Ave, Kingman. Patients can reach him at 928-753-6611.
Jerry L 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:
Jerry L 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:
Jerry L Sullivan
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
411 Grandview Ave, Kingman, Arizona, 86401-5745
Phone:
928-753-6611
Fax:
928-753-1288
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:
1093929044
NPI Enumeration Date:
09 May, 2007
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jerry L Sullivan are as mentioned below.
License Number
Specialization
State
Status
3296
General Practice 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:
411 Grandview Ave, Kingman, Arizona
Zip:
86401-5745
Phone Number:
928-753-6611
Fax Number:
928-753-1288
Patients can reach Jerry L Sullivan at 411 Grandview Ave, Kingman, Arizona or can call to book an appointment on 928-753-6611. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.