NPI 1205104627
John Sullivan, DDS
Practice location
- Address
- 548 S Marine Corps Dr, Tamuning, GU 96913-3539
- Phone
- (671) 646-5824
- Fax
- (671) 647-3556
- Mailing address
- PO Box 6578, Tamuning, GU 96931-6578
Registered specialties
Dentist
Primary
Registry record
- NPI
- 1205104627
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Dec 2011
- Record last updated
- 13 Dec 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.