Individual provider · Type 1 NPI
Mark Robert Sullivan, DDS
General Practice Dentistry · Shelby Township, MI
NPI number
1407056112
Active
Practice location
54951 Mound Rd
Shelby Township, MI 48316-6028
Fax (586) 797-9085
Mailing address
55191 Shelby Rd
Shelby Township, MI 48316-1150
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 12343 (MI) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2 other providers at this address
Other general practice dentistry providers in Shelby Township
- David Joseph Gadioli, DDSGeneral Practice Dentistry Shelby Township, MI NPI 1033260179
- Anthony Bernard Wojcik, DDSGeneral Practice Dentistry Shelby Township, MI NPI 1073660593
- Krista Lynn Wortman, DDSGeneral Practice Dentistry Shelby Township, MI NPI 1093800633
- Robert Vance Antolak, DDSGeneral Practice Dentistry Shelby Township, MI NPI 1104034222
- Heather Pranzarone Stratton, DDSGeneral Practice Dentistry Shelby Township, MI NPI 1124113634
- Frank P. Ruffino, DDSGeneral Practice Dentistry Shelby Township, MI NPI 1164564787
- Leonard Fedon, DDSGeneral Practice Dentistry Shelby Township, MI NPI 1174726822
- Lisa K. Zaborski, DDSGeneral Practice Dentistry Shelby Township, MI NPI 1215079827
About NPI 1407056112
Mark Robert Sullivan, DDS's National Provider Identifier is 1407056112, issued on Jul 20, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Shelby Township, MI. The record was last updated on May 25, 2016.