DR. JACKSON LEE SULLIVAN (D.D.S., PA) – Endodontics, NPI 1194733725

DR. JACKSON LEE SULLIVAN (D.D.S., PA) is a healthcare provider. based in Bradenton, Florida. specializing in Endodontics. They hold the professional credentials D.D.S., PA. They hold a License No. DN15529 (FL). The NPI Number for DR. JACKSON LEE SULLIVAN (D.D.S., PA) is 1194733725

Main info

Male
Name
DR. JACKSON LEE SULLIVAN (D.D.S., PA)
NPI
1194733725
Phone
(941) 840-1906
Address
1906 59TH ST W STE D
Enumeration Date
3 August 2006
Last Update Date
1 March 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. JACKSON LEE SULLIVAN (D.D.S., PA)

  • 1906 59TH ST W STE D

    BRADENTON, FL 342094639

    Phone: (941) 840-1906

    Fax: (941) 840-1906

    Type: Mailing

  • 609, South Kelly Avenue, Edmond, Oklahoma County, Oklahoma, 73003, United States

    E-1

    EDMOND, OK 730035659

    Phone: (405) 844-8444

    Fax: (405) 844-8440

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2024-09-27 • Largest payer in this snapshot: Dentsply Sirona Inc ($39).

Total Amount

$39

General + Research + Ownership

Payments

1

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dentsply Sirona Inc$39
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34209)

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Reviews

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Frequently asked questions

Can I use this page to confirm DR. JACKSON LEE SULLIVAN (D.D.S., PA)'s NPI?
Yes. DR. JACKSON LEE SULLIVAN (D.D.S., PA) is listed with NPI 1194733725 in the public NPI dataset.
Is DR. JACKSON LEE SULLIVAN (D.D.S., PA) still practicing?
DR. JACKSON LEE SULLIVAN (D.D.S., PA) is currently listed as active in the public NPI registry.
What is DR. JACKSON LEE SULLIVAN (D.D.S., PA) best known for clinically?
Directory data describes DR. JACKSON LEE SULLIVAN (D.D.S., PA) with Endodontics. Clinical services aligned with this taxonomy classification.
Does DR. JACKSON LEE SULLIVAN (D.D.S., PA) list a practice location?
Patients near Bradenton, Florida may find DR. JACKSON LEE SULLIVAN (D.D.S., PA) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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