| Sullivan Dental Partnership, Llc | |
|
300 Walmart Dr Sullivan MO 63080-3333 | |
| (573) 860-2552 | |
| (573) 860-4553 |
| Full Name | Sullivan Dental Partnership, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 300 Walmart Dr, Sullivan, Missouri |
| Authorized Official Name and Position | Barry D Brace (DENTIST/OWNER) |
| Authorized Official Contact | 3149657838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sullivan Dental Partnership, Llc 300 Walmart Dr Sullivan MO 63080-3333 Ph: (573) 860-2552 | Sullivan Dental Partnership, Llc 300 Walmart Dr Sullivan MO 63080-3333 Ph: (573) 860-2552 |
| NPI Number | 1275700817 |
|---|---|
| Provider Enumeration Date | 05/13/2008 |
| Last Update Date | 05/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275700817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Sullivan Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 Walmart Dr, Sullivan, MO 63080 Phone: 573-468-3289 Fax: 573-468-3303 | |
Christopher A. Parks, Dds, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Cumberland Way, Suite A, Sullivan, MO 63080 Phone: 573-468-7556 | |
Midwest Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Walmart Dr, Sullivan, MO 63080 Phone: 573-860-2552 Fax: 573-860-2553 | |
Meramec Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 675 Dunsford Dr, Sullivan, MO 63080 Phone: 573-468-2774 Fax: 573-468-2008 |