JERRY L SULLIVAN DDS
NPI 1093929044
Dentist - General Practice in Kingman, AZ
- Individual
- Male
- Dentist
- General Practice
- Accepts Insurance
About JERRY SULLIVAN
This page provides the complete NPI Profile along with additional information for Jerry Sullivan, a provider established in Kingman, Arizona with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1093929044 assigned on May 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 3296 (AZ). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1093929044 Verify this NPI
- Provider Name
- JERRY L SULLIVAN DDS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 411 GRANDVIEW AVE KINGMAN, AZ 86401
- Location Phone
- (928) 753-6611
- Location Fax
- (928) 753-1288
- Mailing Address
- 411 GRANDVIEW AVE KINGMAN, AZ 86401
- Mailing Phone
- (928) 753-6611
- Mailing Fax
- (928) 753-1288
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-09-2007
- Last Update Date
- 07-08-2007
- Code Navigator
A dentist like Jerry Sullivan is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 3296
- License State
- AZ
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- Delta Dental Essential Plan - Family or Child Only - PPO
- Delta Dental Select Plan - Family or Child Only - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093929044, enumerated as an "individual" on May 09, 2007.
The provider is located at 411 GRANDVIEW AVE KINGMAN, AZ 86401 and the phone number is (928) 753-6611.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.
