Mark R Sullivan Dds

LBN: Mark R Sullivan Dds
Mark R Sullivan Dds is an health care organization with primary practice located at 54951 Mound Road , Shelby Twp MI 48316-6028. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Mark R Sullivan Dds can be contacted via phone (586) 797-9118, or through Sullivan, Mark via phone (586) 797-9118.

Contact Information

Primary practice address
54951 Mound Road Shelby Twp MI 48316-6028
Phone: (586) 797-9118
Fax: (586) 797-9085
Website:
Map and Directions
Authorized official contact:
Name: Sullivan, Mark
Phone: (586) 797-9118

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12343 Michigan

Profile Details

NPI number 1851461347
LBN Legal business name Mark R Sullivan Dds
DBA Doing business as
Authorized official Sullivan, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2006
Last updated Jul 17th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1851461347 NPPES
Michigan MEDICAID 4062594

Popular Providers