| Sullivan Dental Center | |
|
5436 Commerce St St Francisville LA 70775 | |
| (225) 635-4422 | |
| (225) 241-7155 |
| Full Name | Sullivan Dental Center |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5436 Commerce St, St Francisville, Louisiana |
| Authorized Official Name and Position | Lillian Reynolds (DIRECTOR) |
| Authorized Official Contact | 2256354422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sullivan Dental Center Po Box 2880 St Francisville LA 70775 Ph: (225) 635-4422 | Sullivan Dental Center 5436 Commerce St St Francisville LA 70775 Ph: (225) 635-4422 |
| NPI Number | 1598873580 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 08/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598873580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5062 (Louisiana) | Secondary |
| 122300000X | Dentist | 5558 (Louisiana) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 4988 (Louisiana) | Primary |
John T Harvey Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4638 Pecan Grove Road, St Francisville, LA 70775 Phone: 225-721-3069 |