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1649376468 NPI number — DANIEL PETER SULLIVAN DDS

NPI Number: 1649376468
Health Care Provider/Practitioner: DANIEL PETER SULLIVAN DDS

Information about “1649376468” NPI (DANIEL PETER SULLIVAN DDS) exists in 1649376468 in HTML format HTML  |  1649376468 in plain Text format TXT  |  1649376468 in PDF (Portable Document Format) PDF  |  1649376468 in an XML format XML  formats.

NPI Number : 1649376468 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649376468",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SULLIVAN",
    "FirstName": "DANIEL",
    "MiddleName": "PETER",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SULLIVAN",
    "OtherFirstName": "DANIEL",
    "OtherMiddleName": "PETER",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "DDS",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "58 MOUNT BETHEL RD",
    "SecondLineMailingAddress": "STE 202",
    "MailingAddressCityName": "WARREN",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07059-2654",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "908-222-7922",
    "MailingAddressFaxNumber": "908-222-7923",
    "FirstLinePracticeLocationAddress": "58 MOUNT BETHEL RD",
    "SecondLinePracticeLocationAddress": "STE 202",
    "PracticeLocationAddressCityName": "WARREN",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07059-2654",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "908-222-7922",
    "PracticeLocationAddressFaxNumber": "908-222-7923",
    "EnumerationDate": "09/16/2006",
    "LastUpdateDate": "11/03/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223S0112X",
        "TaxonomyName": "Oral and Maxillofacial Surgery (Dentist)",
        "LicenseNumber": "22DI02036700",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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