SearchOregonOral and Maxillofacial Surgery (Dentist)

Brett Sullivan, D.M.D., M.D

NPI 1629268966 · on the registry since 2007 · sole proprietor

Practice

Address
11211 Se Sunnyside Rd
Clackamas, OR 97015
Phone
(503) 652-8080
Fax
(503) 526-8992
Clinicians at this address
4

Registry record

Primary taxonomy
Oral and Maxillofacial Surgery (Dentist)
1223S0112X
Also registered as
Dentist
Licence states on file
OR, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-12-06

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 Oregon