O'Sullivan, Maureen

O'Sullivan, Maureen is an sole proprietor health care provider with primary practice located at 385 S Owasso Blvd W , Roseville MN 55113-2119. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Hygienist, Dental Providers / Advanced Practice Dental Therapist. Dental Providers / Advanced Practice Dental Therapist is her primary health care specialty. O'Sullivan, Maureen can be contacted via phone (612) 801-5203.

Contact Information

Primary practice address
385 S Owasso Blvd W Roseville MN 55113-2119
Phone: (612) 801-5203
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X H9759 Minnesota
Dental Providers / Advanced Practice Dental Therapist 125K00000X DT83 Minnesota

Profile Details

NPI number 1619435682
LBN Legal business name O'Sullivan, Maureen
Credentials ADT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2019
Last updated Jun 19th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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