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DR. JOHN J SULLIVAN DDS
NPI 1457412306
Dentist - General Practice in Lakeside, AZ

Active since December 13, 2006
325 W WHITE MOUNTAIN BLVD, LAKESIDE, AZ 85929(928) 367-4276(928) 367-1539 Get Directions Write a Review

NPPES record last updated: April 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John J Sullivan Dds NPPES

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

DR. JOHN J SULLIVAN DDS (NPI 1457412306) is an individual general practice provider in Lakeside, Arizona, licensed in Arizona (2685) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1457412306
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN J SULLIVANCredential: DDS
Location Address325 W WHITE MOUNTAIN BLVDLakeside, AZ 85929-6875
Mailing Address325 W White Mountain BlvdLakeside, AZ 85929-6875 · (928) 367-4276 · Fax (928) 367-1539
Phone(928) 367-4276
Fax(928) 367-1539
Sole ProprietorYes
Enumeration DateDecember 13, 2006
Last NPPES UpdateApril 21, 2010
✔ NPI 1457412306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AZ · 2685
Definition
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.
325 W WHITE MOUNTAIN BLVD, Lakeside, AZ 85929
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN J SULLIVAN, DDS, PC
Dentist
325 W WHITE MOUNTAIN BLVD
LAKESIDE, AZ 85929
Navajo County (928) 367-4276

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 John Sullivan's NPI number?

The NPI number for John Sullivan is 1457412306. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is John Sullivan located?

John Sullivan practices at 325 W White Mountain Blvd, Lakeside, AZ 85929. The listed phone number is (928) 367-4276.

What is John Sullivan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does John Sullivan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list John Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Sullivan was last updated on April 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.