Jacob Sullivan
Jacob Sullivan is a Dentist in Kirtland AFB, New Mexico. Licensed in Arizona. Registered with an NPI since 2020.
- Licensed in
- AZ
- In the registry since
- 2020
Practice location Address checks out
2050A 2nd St SEKirtland AFB, NM 87117-5522
Phone: (505) 846-3200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence D010709 (AZ) |
|---|
Record details
| NPI number | 1922633080 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 10, 2020 |
| Last updated in NPPES | September 28, 2021 |
| Certification date | September 13, 2021 |
Other providers in Kirtland AFB
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Satpal S Jutla, DMD
2050A 2nd St SE, Kirtland AFB, NM 87117-5901 · (505) 846-3200
-
Dr. Lauren Delaney Klein, DDS
2050A 2nd St SE, Kirtland AFB, NM 87117-5901 · (505) 846-3200
-
Dr. Lindsay Ortman, DMD
2050A 2nd St SE, Kirtland AFB, NM 87117-5901 · (505) 846-3200
-
Courtney Scott
2050A 2nd St SE, Kirtland AFB, NM 87117-5901 · (505) 846-3200
-
Benjamin Wang, DDS
2050A 2nd St SE, Kirtland AFB, NM 87117-5522 · (505) 846-3200