Most Relevant Information
Provider Data
| NPI Number: | 1003033283 |
| Provider Name: | THOMAS EDWARD SULLIVAN DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/19/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1200 HIGH RIDGE PARKWAY
WESTCHESTER
IL
60154
Practice Location Phone/Fax
| Phone: | 7085624474 |
| Fax: | 7085624535 |
Provider Mailing Location
9840 DICKENS
WESTCHESTER
IL
60154
Provider Mailing Phone/Fax
| Phone: | 7083389616 |
| Fax: |