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Mark Sullivan, DDS
NPI 1407056112 · on the registry since 2007 · sole proprietor
Practice
- Address
- 54951 Mound Rd
Shelby Township, MI 48316 - Phone
- (586) 797-9118
- Fax
- (586) 797-9085
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-05-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan