Jackson L. Sullivan DDS, PC
Jackson L. Sullivan DDS, PC is an Endodontics in Edmond, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.
- Licensed in
- OK
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
609 S Kelly Ave Ste E1Edmond, OK 73003-7501
Phone: (405) 844-8444
Fax: (405) 844-8440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Endodontics (primary) | Taxonomy 1223E0200X · Licence 5244 (OK) |
|---|
Record details
| NPI number | 1336366244 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Jackson L. Sullivan DDS, PC |
| Authorized official | Jackson Sullivan — Doctor · (405) 844-8444 |
| Other names | Edmond Endodontics |
| NPI enumerated | April 20, 2007 |
| Last updated in NPPES | June 12, 2008 |
| Mailing address | 609 S Kelly Ave Ste E1, Edmond, OK 73003-7501 |