Sullivan, Barry

Sullivan, Barry is an individual health care provider with primary practice located at 4009 N Flowing Wells Rd , Tucson AZ 85705-2404. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Sullivan, Barry can be contacted via phone (520) 408-0836.

Contact Information

Primary practice address
4009 N Flowing Wells Rd Tucson AZ 85705-2404
Phone: (520) 408-0836
Fax: (520) 293-2964
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5607 Arizona

Profile Details

NPI number 1619949377
LBN Legal business name Sullivan, Barry
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619949377 NPPES
Arizona MEDICAID 695926

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