IndividualActive
John Sullivan, D.D.S.
NPI 1114092509 · General Practice Dentistry · Carol Stream, IL
Provider details
- NPI number
- 1114092509
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 019018639 (IL)
Specialties & taxonomies
Dental Providers
Practice location
511 Thornhill Dr
Suite H
Carol Stream, IL 60188-2795
Phone: (630) 665-7350
Fax: (630) 665-0004
Approximate (ZIP-level) locationGet directions
Mailing address
511 East Thornhill Drive
Carol Stream, IL 60188-2438
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2008-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.