John M. Sullivan DDS, PLLC
Dentist in Burton, MI. Organization (NPI-2).
NPI number1790158905
StatusActive
Last updated in NPPESNov 10, 2015
Details
- NPI
- 1790158905
- Entity type
- Organization (NPI-2)
- Legal business name
- John M. Sullivan DDS, PLLC
- Organization subpart
- No
- Enumeration date
- Nov 10, 2015
- Last updated
- Nov 10, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 2901012666 | MI | Yes |
Practice location
5136 Davison RdBurton, MI 48509-1569
Phone 810-742-6060 · Fax 810-742-3022
Mailing address
5136 Davison RdBurton, MI 48509-1569
Phone 810-742-6060 · Fax 810-742-3022
Authorized official
John M. Sullivan
Owner
8107426060
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