David K. Sullivan, DMD, PA

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

8993 Issued in FL

Legal business name

DAVID K. SULLIVAN, DMD, PA

Practice address

9550 Regency Square Blvd
Suite 600
Jacksonville, FL 32225-8116

Phone

(904) 724-5544

Fax

(904) 725-2522

NPI assigned

Jul 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Keith Sullivan, DMDNPI 1992890024

Title

Owner

Phone

(904) 724-5544

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Kevin Sullivan, D.M.D.

  • Endodontics
  • Jacksonville, FL
  • NPI 1992890024
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1457541336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 REGENCY SQUARE BLVD",
            "address_2": "SUITE 600",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322258116",
            "telephone_number": "904-724-5544",
            "fax_number": "904-725-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 REGENCY SQUARE BLVD",
            "address_2": "SUITE 600",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322258116",
            "telephone_number": "904-724-5544",
            "fax_number": "904-725-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID K. SULLIVAN, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-724-5544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "8993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David & Associates
• David a Baxendale DO PA
• David a Walker MD PA
• David and Associates Specialists, LLC
• David K. Rouse, D.C., P.a.
• David Leonard Sall, M.D. P.a.
• Justin Mackenzie David
• Michael David
• Shishir David
• Frances Nicole Davidson-Harshaw, LMHC

• Endodontics in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.