Edmond Endodontics

LBN: Jackson L. Sullivan D.D.S., P.C.
Edmond Endodontics is an health care organization with primary practice located at 609 S Kelly Ave Ste E1 , Edmond OK 73003-7501. The organization recently has only one registered license in Dental Providers / Endodontics, which is considered as the primary health care specialty. Jackson L. Sullivan D.D.S., P.C. can be contacted via phone (405) 844-8444, or through Sullivan, Jackson L via phone (405) 844-8444.

Contact Information

Primary practice address
609 S Kelly Ave Ste E1 Edmond OK 73003-7501
Phone: (405) 844-8444
Fax: (405) 844-8440
Website:
Map and Directions
Authorized official contact:
Name: Sullivan, Jackson L Doctor of Dental Surgery (DDS)
Phone: (405) 844-8444

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 5244 Oklahoma

Profile Details

NPI number 1336366244
LBN Legal business name Jackson L. Sullivan D.D.S., P.C.
DBA Doing business as Edmond Endodontics
Authorized official Sullivan, Jackson L Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 20th, 2007
Last updated Jun 12th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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