Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. John Michael Sullivan, DMD, MS

Individual provider Dentist · NPI 1679703425

Dr. John Michael Sullivan, DMD, MS is a Dentist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2009
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

9770 Old Baymeadows Rd Ste 113
Jacksonville, FL 32256-7986
Phone: (904) 636-8999
Fax: (904) 998-7804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN18659 (FL)

Record details

NPI number1679703425
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MS
Sole proprietorYes
NPI enumeratedJuly 14, 2009
Last updated in NPPESDecember 18, 2012
Mailing address9770 Old Baymeadows Rd Ste 113, Jacksonville, FL 32256-7986

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