OrganizationActive
Jackson L. Sullivan D.D.S., P.C.
NPI 1336366244 · Endodontics · Edmond, OK
Jackson L. Sullivan D.D.S., P.C. is a Endodontics organization in Edmond, OK (NPI 1336366244).
Provider details
- NPI number
- 1336366244
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Parent organization
- Jackson L. Sullivan D.D.S., P.C.
- Organization subpart
- Yes
- Authorized official
- Jackson Sullivan, Doctor(405) 844-8444
- License
- 5244 (OK)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
609 S Kelly Ave Ste E1
Edmond, OK 73003-7501
Phone: (405) 844-8444
Fax: (405) 844-8440
Street-level locationGet directions
Mailing address
609 S Kelly Ave Ste E1
Edmond, OK 73003-7501
Other names (DBA / former)
- Other name
- Edmond Endodontics
Registry dates
- Enumerated
- 2007-04-20
- Last updated
- 2008-06-12
Frequently asked questions
- What is Jackson L. Sullivan D.D.S., P.C.'s NPI number?
- Jackson L. Sullivan D.D.S., P.C.'s National Provider Identifier (NPI) is 1336366244, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson L. Sullivan D.D.S., P.C.?
- Jackson L. Sullivan D.D.S., P.C. is classified in the NPPES registry as Endodontics (Dental Providers).
- Where is Jackson L. Sullivan D.D.S., P.C. located?
- Jackson L. Sullivan D.D.S., P.C.'s practice location on file with NPPES is 609 S Kelly Ave Ste E1, Edmond, OK 73003-7501.
- What is Jackson L. Sullivan D.D.S., P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Jackson L. Sullivan D.D.S., P.C. is (405) 844-8444.
- Who is the authorized official for Jackson L. Sullivan D.D.S., P.C.?
- The authorized official listed on Jackson L. Sullivan D.D.S., P.C.'s NPPES record is Jackson Sullivan, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson L. Sullivan D.D.S., P.C.'s NPI active?
- Yes — Jackson L. Sullivan D.D.S., P.C.'s NPI (1336366244) is active in the NPPES registry as of the last update on 2008-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.