| Dr. John V. Sullivant, D.d.s. P.a. | |
|
727 N Cardinal Dr Mountain Home AR 72653-3253 | |
| (870) 425-4242 | |
| (870) 425-4243 |
| Full Name | Dr. John V. Sullivant, D.d.s. P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 727 N Cardinal Dr, Mountain Home, Arkansas |
| Authorized Official Name and Position | John Virgil Sullivant (DOCTOR) |
| Authorized Official Contact | 8704254242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. John V. Sullivant, D.d.s. P.a. 727 N Cardinal Dr Mountain Home AR 72653-3253 Ph: (870) 425-4242 | Dr. John V. Sullivant, D.d.s. P.a. 727 N Cardinal Dr Mountain Home AR 72653-3253 Ph: (870) 425-4242 |
| NPI Number | 1982865986 |
|---|---|
| Provider Enumeration Date | 06/23/2008 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982865986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | AR2788 (Arkansas) | Primary |
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