Jerry L Sullivan, DDS is a general practice dentist in Kingman, AZ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Jerry L Sullivan, DDS NPI is 1093929044. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
411 GRANDVIEW AVE
KINGMAN, AZ
ZIP 86401-745
Phone: (928) 753-6611
Fax: (928) 753-1288
The enumeration date for this NPI number is 5/9/2007 and was last updated on 7/8/2007.