Sullivan, Mark Philip

Sullivan, Mark Philip is an individual health care provider with primary practice located at 6545 France Ave S Ste 366 , Edina MN 55435-2121. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Sullivan, Mark Philip can be contacted via phone (952) 241-5851.

Contact Information

Primary practice address
6545 France Ave S Ste 366 Edina MN 55435-2121
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X D13501 Minnesota

Profile Details

NPI number 1689006520
LBN Legal business name Sullivan, Mark Philip
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2013
Last updated Dec 1st, 2020 - about 4 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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