Individual provider · Type 1 NPI
Robert Lawrence Sullivan, DDS
Oral and Maxillofacial Surgery (Dentist) · Ware, MA
NPI number
1487668844
Active
Practice location
40 Church St
Ware, MA 01082-1234
Fax (413) 967-5933
Mailing address
211 Iduna Ln
Amherst, MA 01002-3424
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | MA10928 (MA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
About NPI 1487668844
Robert Lawrence Sullivan, DDS's National Provider Identifier is 1487668844, issued on Jul 28, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Ware, MA. The record was last updated on Jul 8, 2007.