National Provider Identifier
John P. Sullivan, D.M.D.
John P. Sullivan, D.M.D. is listed in the NPPES registry with a primary specialty of Orthodontics and Dentofacial Orthopedics Dentistry in Pittsford, NY and a listed phone number of (585) 586-7170.
Profile Overview
- NPI
- 1992797468
- Provider Type
- Individual
- Primary Specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Enumeration Date
- August 19, 2005
- Last Updated
- January 17, 2012
Practice Location
- 60 Tobey Village
- Pittsford, NY 14534-1858
Phone: (585) 586-7170
Mailing Address
- 105 Neuchatel Ln
- Fairport, NY 14450-4634
Specialties
- Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)
Full Record
- NPI
- 1992797468
- Entity Type
- Individual
- Last Name
- Sullivan
- First Name
- John
- Middle Name
- P.
- Name Prefix
- Dr.
- Credential
- D.M.D.
- Mailing Street Address
- 105 Neuchatel Ln
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-4634
- Mailing Country
- US
- Mailing Phone
- (585) 586-7170
- Practice Street Address
- 60 Tobey Village
- Practice City
- Pittsford
- Practice State
- NY
- Practice ZIP Code
- 14534-1858
- Practice Country
- US
- Practice Phone
- (585) 586-7170
- Enumeration Date
- August 19, 2005
- Last Updated
- January 17, 2012
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)
- Other Identifiers
- 055771-1 (NY, Nys Dental License)