EDMOND ENDODONTICS
NPI 1336366244
Dentist - Endodontics in Edmond, OK

Q: What is Jackson L. Sullivan D.D.S., P.C.'s NPI number?

The NPI number for Jackson L. Sullivan D.D.S., P.C. is 1336366244. It was assigned to this organization in the NPPES registry on April 20, 2007. The provider is also known as Edmond Endodontics.

Q: What is Jackson L. Sullivan D.D.S., P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Active since April 20, 2007

609 S KELLY AVE STE E1, EDMOND, OK 73003(405) 844-8444(405) 844-8440 Get Directions Write a Review

NPPES record last updated: June 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Edmond Endodontics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDMOND ENDODONTICS (NPI 1336366244) is a healthcare organization registered as an endodontics in Edmond, Oklahoma and active in the NPI registry since April 2007. The organization lists Jackson L Sullivan, Doctor, as its authorized official.

NPPES Registry Identity

NPI1336366244

Entity TypeOrganization

Primary Taxonomy1223E0200X

Legal Business NameJACKSON L. SULLIVAN D.D.S., P.C.

Location Address609 S KELLY AVE STE E1Edmond, OK 73003-7501

Mailing Address609 S Kelly Ave Ste E1Edmond, OK 73003-7501 · (405) 844-8444 · Fax (405) 844-8440

Phone(405) 844-8444

Fax(405) 844-8440

Organization SubpartYes

Authorized OfficialJackson L SullivanDoctor · (405) 844-8444

Enumeration DateApril 20, 2007

Last NPPES UpdateJune 12, 2008

✔ NPI 1336366244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in OK · 5244

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

609 S KELLY AVE STE E1, Edmond, OK 73003

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Other Names 1

Other NameEdmond Endodontics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson L. Sullivan D.D.S., P.C.'s NPI number?

The NPI number for Jackson L. Sullivan D.D.S., P.C. is 1336366244. It was assigned to this organization in the NPPES registry on April 20, 2007. The provider is also known as Edmond Endodontics.

Where is Jackson L. Sullivan D.D.S., P.C. located?

Jackson L. Sullivan D.D.S., P.C. is located at 609 S Kelly Ave Ste E1, Edmond, OK 73003. The listed phone number is (405) 844-8444.

What is Jackson L. Sullivan D.D.S., P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Jackson L. Sullivan D.D.S., P.C. was last updated on June 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.