Dr. John V. Sullivant, D.D.S. P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

AR2788 Issued in AR

Legal business name

DR. JOHN V. SULLIVANT, D.D.S. P.A.

Practice address

727 N Cardinal Dr
Mountain Home, AR 72653-3253

Phone

(870) 425-4242

Fax

(870) 425-4243

NPI assigned

Jun 23, 2008

Last updated

Jun 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Virgil Sullivant, DDSNPI 1255342028

Title

Doctor

Phone

(870) 425-4242

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John V. Sullivant, DDS,PA

  • General Practice Dentistry
  • Mountain Home, AR
  • NPI 1255342028
  NPD (past) Authorized official
• Seth Sullivant, DDS

  • General Practice Dentistry
  • Mountain Home, AR
  • NPI 1255066858
  NPD (past)

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1982865986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 N CARDINAL DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533253",
            "telephone_number": "870-425-4242",
            "fax_number": "870-425-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 N CARDINAL DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533253",
            "telephone_number": "870-425-4242",
            "fax_number": "870-425-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOHN V. SULLIVANT, D.D.S. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "SULLIVANT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "VIRGIL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "870-425-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "AR2788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dover and Hart Dental PLLC (Dover Family Dentistry)
• Dover Dental D.D.S., P.a. Dba Dover Family Dentistry (Dover Family Dentistry)
• Sarah Dover
• Dr Kala R Hatch PA
• Dr. John T. Ahrens D.M.D. PA
• Casey Erin Drennin
• Jeffrey Dupre Jr., CRNA
• Alston Dwyer
• Cameron Dwyer
• Jessica Ann Dwyer, NP-C

• General Practice Dentistry in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.