IndividualActive
Kim Sullivan, RDH
NPI 1891957759 · Dental Hygienist · Fayetteville, AR
Provider details
- NPI number
- 1891957759
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- License
- 0752 (AR)
Specialties & taxonomies
Dental Providers
Practice location
1100 N College Ave
Fayetteville, AR 72703-1944
Phone: (479) 443-4301
Approximate (ZIP-level) locationGet directions
Mailing address
1100 N College Ave
Fayetteville, AR 72703-1944
Registry dates
- Enumerated
- 2008-07-01
- Last updated
- 2008-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.