| John M. Sullivan Dds, Pllc | |
|
5136 Davison Rd Burton MI 48509-1569 | |
| (810) 742-6060 | |
| (810) 742-3022 |
| Full Name | John M. Sullivan Dds, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 5136 Davison Rd, Burton, Michigan |
| Authorized Official Name and Position | John M. Sullivan (OWNER) |
| Authorized Official Contact | 8107426060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John M. Sullivan Dds, Pllc 5136 Davison Rd Burton MI 48509-1569 Ph: (810) 742-6060 | John M. Sullivan Dds, Pllc 5136 Davison Rd Burton MI 48509-1569 Ph: (810) 742-6060 |
| NPI Number | 1790158905 |
|---|---|
| Provider Enumeration Date | 11/10/2015 |
| Last Update Date | 11/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790158905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901012666 (Michigan) | Primary |
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