Individual provider · Type 1 NPI

Scott Louis Sullivan, DDS

General Practice Dentistry · Santa Rosa, CA

NPI number 1063612844 Active

About NPI 1063612844

Scott Louis Sullivan, DDS's National Provider Identifier is 1063612844, issued on Jul 20, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 20, 2007.