Organization · Type 2 NPI
Sullivan Family Dentistry, LLC
General Practice Dentistry · Sullivan, IN
NPI number
1871996199
Active
Practice location
2186 N Hospital Blvd., Suite 1
Sullivan, IN 47882-0468
Fax (812) 268-5607
Mailing address
PO Box 468
Sullivan, IN 47882-0468
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 12007736A (IN) |
| General Practice Dentistry Primary | 1223G0001X | None listed |
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.
About NPI 1871996199
Sullivan Family Dentistry, LLC's National Provider Identifier is 1871996199, issued on Oct 1, 2014. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Sullivan, IN. The record was last updated on Jan 8, 2020.